Individual
DR. JASMINE WONG YUMORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
795 E. SECOND STREET, SUITE 2, POMONA, CA 91766-2007
(909) 706-3899
(909) 469-8640
Mailing address
795 E. SECOND STREET, SUITE 2, POMONA, CA 91766-2007
(909) 469-8773
(909) 469-5228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13650TLG
CA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT13650TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB224981
MEDICARE PTAN SO CAL
CA
Enumeration date
07/09/2008
Last updated
11/02/2016
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