Individual
GENESIS ATAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9170 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730-5416
(909) 440-1014
Mailing address
14726 RAMONA AVE STE 203, CHINO, CA 91710-5730
(626) 305-9100
(626) 305-0152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT36174
CA
Other
Enumeration date
01/22/2026
Last updated
02/06/2026
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