Abo, Justin Tadashi
Abo, Justin Tadashi is an individual health care provider with primary practice located at 12759 Foothill Blvd Ste C, Rancho Cucamonga CA 91739-9336. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abo, Justin Tadashi can be contacted via phone (909) 899-0026.Contact Information
Primary practice address
12759 Foothill Blvd Ste C
Rancho Cucamonga CA 91739-9336
Phone: (909) 899-0026
Fax: (909) 899-6381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11100T | California |
Profile Details
| NPI number | 1952386963 |
|---|---|
| LBN Legal business name | Abo, Justin Tadashi |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Jun 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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