Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 10651 T | CA |
NPI | 1306997143 |
---|---|
Provider Name | Dr. Brittany Ann To |
First Address | Irvine, CA 92602-2475 |
Second Address | Fountain Valley, CA 92708-3853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SD0106510 | (05) | CA |
U60803 | (02) | CA |