Organization
COLLEGE GROVE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOA PHUONG T NGUYEN O.D. (PRESIDENT)
(619) 583-5744
Entity
Organization
Contact information
Practice address
3408 COLLEGE AVE, SAN DIEGO, CA 92115-7134
(619) 583-5744
(619) 583-5744
Mailing address
3408 COLLEGE AVE, SAN DIEGO, CA 92115-7134
(619) 583-5744
(619) 583-5744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12630T
CA
Other
Enumeration date
05/22/2008
Last updated
09/02/2010
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