Organization
DR. MIMIA WEN OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIMIA WEN OD (PRESIDENT/AUTHORIZED OFFICIAL)
(949) 432-7894
Entity
Organization
Contact information
Practice address
2651 IRVINE AVE STE 120, COSTA MESA, CA 92627-6620
(949) 439-8471
Mailing address
2651 IRVINE AVE STE 120, COSTA MESA, CA 92627-6620
(949) 432-7894
(949) 432-7880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/19/2023
Last updated
07/19/2023
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