Gina C Shao, O.D.

NPI #1023113107 in Thousand Oaks, California

Provider Information

NPI Number: 1023113107
Entity Type: Individual
Name: Gina C Shao, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 14, 2006
Last Updated: Jun 4, 2015

Practice Location

Address: 2322 E THOUSAND OAKS BLVD
City: Thousand Oaks
State: California
ZIP Code: 91362-3206
Phone: (805) 557-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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