Shanida Patsamarn Ingalla, O.D. Valid NPI
Individual provider · Low Vision Rehabilitation Optometrist · Palo Alto, CA
- NPI
- 1740291442
- Type
- Individual (Type 1)
- Primary specialty
- Low Vision Rehabilitation Optometrist (Optometrist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152WL0500X
- License number
- 12182T (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-10
- Last updated
- 2007-07-08
Practice location
3801 Miranda Ave, Optometry #112
Palo Alto, CA 94304-1207
(650) 493-5000