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NPI Code Detail

MEDICARE: CURTIS KAN AND JIMMY LEE, OD, PTR

MEDICARE: CURTIS KAN AND JIMMY LEE, OD, PTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist07640TCA

Other Identifiers

General Provider Information

NPI Number : 1962551358
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURTIS KAN AND JIMMY LEE, OD, PTR
Provider Business Mailing Address
First Line : 625 W COLLEGE ST
Second Line : SUITE 102
City : LOS ANGELES
State : CA
Zip : 90012-1675
Country : US
Telephone Number : 213-680-1394
Fax Number : 213-680-2804
Provider Business Practice Location Address
First Line : 625 W COLLEGE ST
Second Line : SUITE 102
City : LOS ANGELES
State : CA
Zip : 90012-1675
Country : US
Telephone Number : 213-680-1394
Fax Number : 213-680-2804
Authorized Official
Title or Position : PARTNER
Name : DR. CURTIS KAN
Credential : OD
Telephone Number : 213-680-1394
Provider Enumeration Date : 01/09/2007
Last Update Date : 10/26/2011

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Directions to “CURTIS KAN AND JIMMY LEE, OD, PTR ” Practice Location

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