Long Trang DO, O.D.
Optometrist in Garden Grove, CA. Individual provider (NPI-1).
NPI number1528027273
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1528027273
- Entity type
- Individual (NPI-1)
- Name
- Long Trang DO
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2006
- Last updated
- Nov 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 10932T | CA | Yes |
Practice location
11471 Kathy LnGarden Grove, CA 92840-1716
Phone 714-615-2251
Mailing address
2001 N Garey AveSuite 102
Pomona, CA 91767-2721
Phone 909-620-5292
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