TRI DUC PHAN

SAN DIEGO, CA
NPI1568550119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT11733T)
Enumeration Date2006-10-10
Last Update Date2007-07-09
Business Address
-- TRI DUC PHAN O.D.
1246 UNIVERSITY AVE
SAN DIEGO, CA 92103-3312
Phone number: 619-291-0202
Mailing Address
-- TRI DUC PHAN O.D.
1246 UNIVERSITY AVE
SAN DIEGO, CA 92103-3312
Phone number: 619-291-0202