Individual
GURKARN GHAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 SCOTT BLVD, SANTA CLARA, CA 95050-6927
(408) 296-0511
Mailing address
770 SCOTT BLVD, SANTA CLARA, CA 95050-6927
(408) 296-0511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35582
CA
Other
Enumeration date
12/04/2023
Last updated
05/17/2024
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