Individual
HENRY GUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
36330 HIDDEN SPRINGS RD STE A, WILDOMAR, CA 92595-5804
(951) 609-9099
Mailing address
565 MAR VISTA DR, VISTA, CA 92081-7518
(858) 342-6493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34601
CA
Other
Enumeration date
08/08/2020
Last updated
08/27/2020
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