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Organization

DR. HEEJUNG KOH OPTOMETRIC CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEEJUNG KOH O.D. (PRESIDENT)
(626) 854-1131
Entity
Organization

Contact information

Practice address
18337 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2762
(626) 854-1131
Mailing address
18337 COLIMA RD, ROWLAND HEIGHTS, CA 91748-2762
(626) 854-1131

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12818
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689861353
CA
Enumeration date
09/26/2007
Last updated
01/30/2008
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