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RANDY LIU ABOC, NCLEC
Optician >> Technician/Technologist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1548895998
Individual Registrant: RANDY LIU ABOC, NCLEC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
10414 VACCO ST SOUTH EL MONTE, CA 91733-3350 US
Tel: 626-899-3189 Fax: --
Tel: 626-899-3189 Fax: --
Contact information for business:
1370 VALLEY VISTA DR STE 200 DIAMOND BAR, CA 91765-3921 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1548895998
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 156FX1800X | Eye and Vision Services Providers Technician/Technologist Optician | CA | 41484 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
