Tristina Chung
Optometrist, Vision Therapy in Pasadena, CA. Individual provider (NPI-1).
NPI number1982254785
StatusActive
Last updated in NPPESDec 17, 2021
Details
- NPI
- 1982254785
- Entity type
- Individual (NPI-1)
- Name
- Tristina Chung
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Last updated
- Dec 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WV0400X | Optometrist, Vision Therapy | 34352TLG | CA | Yes |
Practice location
2700 E Foothill Blvd Ste 207Pasadena, CA 91107-7111
Phone 626-578-9685
Mailing address
78 E Bay State St Unit 3aAlhambra, CA 91801-6819
Phone 909-677-8655
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