Lapalma Optical INC
Technician/Technologist, Optician in La Palma, CA. Organization (NPI-2).
NPI number1710696588
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1710696588
- Entity type
- Organization (NPI-2)
- Legal business name
- Lapalma Optical INC
- Organization subpart
- No
- Enumeration date
- Nov 21, 2022
- Certification date
- Nov 19, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
4945 La Palma AveLa Palma, CA 90623-2054
Phone 562-348-0074
Mailing address
4945 La Palma AveLa Palma, CA 90623-2054
Authorized official
Jeong Moon Kim
Ceo
9093961837
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