Organization
CHAN DIEP OD INC
Active
Other names
Leaf Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
CHAN DIEP OD (CEO)
(310) 374-0755
Entity
Organization
Contact information
Practice address
220 N AVIATION BLVD STE B, MANHATTAN BEACH, CA 90266-7015
(310) 374-0755
(310) 374-0756
Mailing address
220 N AVIATION BLVD STE B, MANHATTAN BEACH, CA 90266-7015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
04/13/2022
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