Ju, John T

Ju, John T is an individual health care provider with primary practice located at 616 N Garfield Ave Ste 100 , Monterey Park CA 91754-1153. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ju, John T can be contacted via phone (626) 288-3555.

Contact Information

Primary practice address
616 N Garfield Ave Ste 100 Monterey Park CA 91754-1153
Fax: (626) 571-0922
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT6062TPA California

Profile Details

NPI number 1639214851
LBN Legal business name Ju, John T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated May 12th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639214851 NPPES
California MEDICAID SD0060620

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