Individual
EURI CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-3672
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14921
CA
Other
Enumeration date
06/16/2014
Last updated
12/02/2021
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