Matthew La, OD

NPI 1750426524 · on the registry since 2007 · sole proprietor

Practice

Address: 12155 Tech Center Drive
Poway, CA 92064
Phone: (858) 391-1411
Organisation at this address: Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California