Thear Bun Valid NPI
Individual provider · Optometrist · West Covina, CA
- NPI
- 1487082319
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 14791 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-11-01
- Last updated
- 2013-11-01
Practice location
1000 Lakes Dr Ste 180
West Covina, CA 91790-2927
(626) 919-4821