Justin Tadashi Abo, OD Valid NPI

Individual provider · Optometrist · Rancho Cucamonga, CA

NPI

1952386963

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

11100T (CA)

Sex

Male

Sole proprietor

No

Enumerated

2005-12-13

Last updated

2014-06-19