Most Relevant Information
Provider Data
NPI Number: | 1003530627 |
Provider Name: | MICHAEL TAY OD |
Entity Type: | Individual |
Taxonomy Code: | 152W00000X |
Specialty: | Optometrist |
License Number: | 35237 |
Most Important Dates
Enumeration Date: | 09/27/2022 |
Last Updated: | 09/27/2022 |
Provider Practice Location
4433 S ALAMEDA ST
LOS ANGELES
CA
900582008
Practice Location Phone/Fax
Phone: | 3239881033 |
Fax: |
Provider Mailing Location
14100 W MONROE PL
VAN NUYS
CA
914055655
Provider Mailing Phone/Fax
Phone: | |
Fax: |