Individual
ALVIN CHUNG NING TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
311 WINSTON ST, LOS ANGELES, CA 90013-1519
(213) 893-1960
Mailing address
311 WINSTON ST, LOS ANGELES, CA 90013-1519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15340
CA
Other
Enumeration date
07/01/2015
Last updated
01/20/2020
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