Individual
CATHY ONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15501 SONORA ST, TUSTIN, CA 92782-1937
(949) 654-2066
Mailing address
15501 SONORA ST, TUSTIN, CA 92782-1937
(949) 654-2066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13872
CA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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