Individual
ALICE AU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5601 DE SOTO AVE, OPTOMETRY DEPARTMENT, WOODLAND HILLS, CA 91367-6701
(818) 719-4330
Mailing address
5601 DE SOTO AVE, OPTOMETRY DEPARTMENT, WOODLAND HILLS, CA 91367-6701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14700
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/18/2013
Last updated
02/11/2022
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