Individual
EMILIE ENDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
810 N AVALON BLVD, WILMINGTON, CA 90744-4502
(310) 834-5464
Mailing address
3537 TORRANCE BLVD STE 18, TORRANCE, CA 90503-4818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
009028
NY
152W00000X
Optometrist
Primary
34327
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/29/2019
Last updated
08/17/2020
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