Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 13499 | CA |
NPI | 1174786065 |
---|---|
Provider Name | Dr. Gloria Bitt-Wai Chiu |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 25/08/2020 |