Individual
DR. DAVID ROY TANOUYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25651 ATLANTIC OCEAN DR, SUITE A-1, LAKE FOREST, CA 92630-8841
(949) 707-2740
(949) 421-1194
Mailing address
25651 ATLANTIC OCEAN DR, SUITE A-1, LAKE FOREST, CA 92630-8841
(949) 707-2740
(949) 421-1194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8335T
CA
152WC0802X
Corneal and Contact Management Optometrist
OPT8335T
CA
Other
Enumeration date
04/06/2007
Last updated
12/06/2010
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