Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 13664 | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 13664 | CA |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 13664 | CA |
NPI | 1164650305 |
---|---|
Provider Name | Dr. Chien-Yu Chiu |
First Address | Los Angeles, CA 90064 |
Second Address | Los Angeles, CA 90064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2009 |
Last Update Date | 01/02/2018 |