Dr. ETHAN S DIEP O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1639467467- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 878 EASTLAKE PKWY STE 1011, CHULA VISTA, CA, 919144546
- Phone
- (619) 216-4582
- Fax
- (619) 216-4589
Specialties & Taxonomies
Optometrist
Primary License: CA #14173