Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | D7611 | CA |
NPI | 1053662098 |
---|---|
Provider Name | Lin Chyuan Hu |
First Address | City Of Industry, CA 91748-1701 |
Second Address | City Of Industry, CA 91748-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2012 |
Last Update Date | 01/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D7611 | REGISTERED OPTICIAN DISPENSER (01) | CA |
SL4298 | REGISTERED SPECTACLE LENS DISPENSER MEDICAL BOARD OF CA (01) | CA |