Organization
CHINO OPTOMETRY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T JU O.D. (OWNER)
(909) 627-7363
Entity
Organization
Contact information
Practice address
11640 CENTRAL AVE, CHINO, CA 91710-1923
(909) 627-7363
(909) 627-9854
Mailing address
11640 CENTRAL AVE, CHINO, CA 91710-1923
(909) 627-7363
(909) 627-9854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6062TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0020470
—
CA
Enumeration date
02/12/2007
Last updated
02/28/2013
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