Individual
DANNELLE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 304, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD BLDG 304, LOS ANGELES, CA 90073-1003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34265TLG
CA
Other
Enumeration date
03/25/2019
Last updated
07/12/2019
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