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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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