Organization
GLENDORA OPTOMETRY APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA WONG OD (CHIEF EXECUTIVE OFFICER)
(626) 914-4815
Entity
Organization
Contact information
Practice address
852 S GRAND AVE, GLENDORA, CA 91740-4806
(626) 914-4815
(626) 914-0502
Mailing address
852 S GRAND AVE, GLENDORA, CA 91740-4806
(626) 914-4815
(626) 914-0502
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0107920
—
CA
Enumeration date
09/07/2021
Last updated
09/07/2021
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