Stacey Qt Le, Od Professional Optometry Corporation | |
7038 Katella Ave Stanton CA 90680-2805 | |
(714) 895-4899 | |
Not Available |
Full Name | Stacey Qt Le, Od Professional Optometry Corporation |
---|---|
Speciality | Clinic/center |
Location | 7038 Katella Ave, Stanton, California |
Authorized Official Name and Position | Stacey Qt Le (PRES) |
Authorized Official Contact | 7148954899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacey Qt Le, Od Professional Optometry Corporation 7038 Katella Ave Stanton CA 90680-2805 Ph: (714) 895-4899 | Stacey Qt Le, Od Professional Optometry Corporation 7038 Katella Ave Stanton CA 90680-2805 Ph: (714) 895-4899 |
NPI Number | 1609033992 |
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Provider Enumeration Date | 05/22/2008 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609033992 | NPI | - | NPPES |
SD0102320 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OP10232 (California) | Primary |
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