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Individual

AMY TIEN-TSUEN CHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
21851 AVALON BLVD, CARSON, CA 90745-3304
(310) 830-0632
(310) 830-9827
Mailing address
21851 AVALON BLVD, CARSON, CA 90745-3304
(310) 830-0632
(310) 830-9827

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10304TPL
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0103040
CA
Enumeration date
08/19/2005
Last updated
04/28/2010
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