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: |