Individual
IVAN YONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 THIRD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 425-7755
Mailing address
835 THIRD AVE STE A, CHULA VISTA, CA 91911-1352
(619) 425-7755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34031TLG
CA
Other
Enumeration date
09/19/2018
Last updated
03/19/2024
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