PONPHEN UTTAYAYA

LOS ANGELES, CA
NPI1477612190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT7737TPA)
Enumeration Date2006-12-08
Last Update Date2021-11-30
Business Address
PONPHEN UTTAYAYA OD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
Mailing Address
PONPHEN UTTAYAYA OD
6041 CADILLAC AVE
LOS ANGELES, CA 90034-1702
Phone number: 323-857-2000
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