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Individual

JANE FANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
14006 RIVERSIDE DR STE 274, SHERMAN OAKS, CA 91423-1963
(818) 461-0595
Mailing address
14006 RIVERSIDE DR STE 274, SHERMAN OAKS, CA 91423-1963

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046011157
IL
152W00000X
Optometrist
Primary
34137TLG
CA

Other

Enumeration date
01/10/2018
Last updated
04/28/2022
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