Individual
TIMO T OU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 325-5111
Mailing address
420 LA CRESCENTA DR UNIT 321, BREA, CA 92823-6433
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001017
CA
Other
Enumeration date
12/29/2018
Last updated
12/02/2021
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