Most Relevant Information
Provider Data
| NPI Number: | 1003427469 |
| Provider Name: | TIFFANY CHRISTINE KWONG OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPT34613 |
Most Important Dates
| Enumeration Date: | 08/11/2020 |
| Last Updated: | 08/28/2020 |
Provider Practice Location
5803 ROSEMEAD BLVD
TEMPLE CITY
CA
917801833
Practice Location Phone/Fax
| Phone: | 6262878505 |
| Fax: | 6262872645 |
Provider Mailing Location
5803 ROSEMEAD BLVD
TEMPLE CITY
CA
917801833
Provider Mailing Phone/Fax
| Phone: | 6262776973 |
| Fax: |