Chan Diep Od INC
NPI #1972272367 in Manhattan Beach, California
Provider Information
- NPI Number
- 1972272367
- Entity Type
- Organization
- Organization Name
- Chan Diep Od INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Apr 13, 2022
Practice Location
- Address
- 220 N AVIATION BLVD STE B
- City
- Manhattan Beach
- State
- California
- ZIP Code
- 90266-7015
- Phone
- (310) 374-0755
Authorized Official
- Name
- CHAN DIEP, OD
- Title
- CEO
- Phone
- (310) 374-0755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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