Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 14336 | CA |
N | 152W00000X | Optometrist | 8021476-9934 | UT |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 14336 | CA |
NPI | 1013205905 |
---|---|
Provider Name | Dr. Jennifer J Che |
First Address | San Pedro, CA 90731-3107 |
Second Address | San Pedro, CA 90731-3107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2011 |
Last Update Date | 07/11/2017 |