Individual
DR. AMANDA LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2771 S DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-3513
(909) 598-4393
Mailing address
2771 S DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-3513
(909) 598-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33619TLG
CA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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