Healthcare Provider Details

I. General information

NPI: 1982909875
Provider Name (Legal Business Name): DENNIS S JHEE OD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 01/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18742 COLIMA RD
ROWLAND HEIGHTS CA
91748-2916
US

IV. Provider business mailing address

18742 COLIMA RD
ROWLAND HEIGHTS CA
91748-2916
US

V. Phone/Fax

Practice location:
  • Phone: 626-854-1001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number9904T
License Number StateCA

VIII. Authorized Official

Name: DR. DENNIS SOUNG JHEE
Title or Position: OWNER
Credential: OD
Phone: 626-854-1001