Jimmy K So Od INC

NPI #1790047660 in Upland, California

Provider Information

NPI Number: 1790047660
Entity Type: Organization
Organization Name: Jimmy K So Od INC
Primary Specialty: Optometrist
Enumeration Date: Jun 15, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 1261 W FOOTHILL BLVD
Address 2: SUITE 8
City: Upland
State: California
ZIP Code: 91786-8018
Phone: (909) 982-9366

Authorized Official

Name: JIMMY K SO, O.D.
Title: OWNER
Phone: (909) 982-9366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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