Individual
BRIAN BALDOVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2307 BLACK PINE RD, CHINO HILLS, CA 91709-4709
(909) 348-2664
Mailing address
2307 BLACK PINE RD, CHINO HILLS, CA 91709-4709
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35335
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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