Individual
KELLEE LEANGSOK TEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
14361 BEACH BLVD STE 201, WESTMINSTER, CA 92683-8140
(714) 684-1711
(714) 684-1920
Mailing address
14361 BEACH BLVD STE 201, WESTMINSTER, CA 92683-8140
(714) 684-1711
(714) 775-7050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002088
PA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
13559TLG
CA
Other
Enumeration date
07/03/2008
Last updated
02/04/2022
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