| Dr Chan Nhu Diep, OD | |
|
11540 Santa Monica Blvd Ste 202, Los Angeles, CA 90025 | |
| (310) 473-5464 | |
| (310) 473-2536 |
| Full Name | Dr Chan Nhu Diep |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 11540 Santa Monica Blvd Ste 202, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073814174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 007640 (New York) | Secondary |
| 152W00000X | Optometrist | 14049 (California) | Primary |
| Provider Name | Carolyn Marie Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306971429 PECOS PAC ID: 7113053141 Enrollment ID: I20100330000338 |
| Provider Name | Chan Diep, Od, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972272367 PECOS PAC ID: 6103216262 Enrollment ID: O20211203000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chan Nhu Diep, OD 11540 Santa Monica Blvd Ste 202, Los Angeles, CA 90025-7905 Ph: (310) 473-5464 | Dr Chan Nhu Diep, OD 11540 Santa Monica Blvd Ste 202, Los Angeles, CA 90025 Ph: (310) 473-5464 |
Roxana Gilda De La Rosa, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 105 1/2 S Vermont Ave, Los Angeles, CA 90004 Phone: 213-383-8036 | |
Dr. Lernik Torossian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 835 W Jefferson Blvd Unit 7-d, Los Angeles, CA 90089 Phone: 323-442-6335 | |
Optometric Eyesite Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10939 West Pico Blvd, Los Angeles, CA 90064 Phone: 310-899-0077 | |
Vision To Learn Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Wilshire Blvd Ste 1275, Los Angeles, CA 90025 Phone: 800-485-9196 Fax: 213-402-5261 | |
Beverly Grove Vision Care Optometry, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 S Fairfax Ave, Los Angeles, CA 90036 Phone: 323-879-9259 | |
Narda Sanchez, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5500 W. Sunset Blvd, Los Angeles, CA 90028 Phone: 323-462-2816 | |
Michael Tay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4433 S Alameda St, Los Angeles, CA 90058 Phone: 323-988-1033 |