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Testin Tai Jun Kwong, OD

Optometrist in Millbrae, CA. Individual provider (NPI-1).

NPI number1316618986
StatusActive
Last updated in NPPESSep 23, 2021

Details

NPI
1316618986
Entity type
Individual (NPI-1)
Name
Testin Tai Jun Kwong
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 23, 2021
Certification date
Sep 21, 2021
Last updated
Sep 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist34969CAYes

Practice location

305 Broadway
Millbrae, CA 94030-2509

Phone 650-697-2475

Mailing address

2167 19th Ave
San Francisco, CA 94116-1802

Phone 415-490-7409

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Other Optometrist providers in Millbrae, CA

All 5 Optometrist providers in Millbrae · All 223 providers in Millbrae

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