Basic Information
| Provider Information | |||||||||
| NPI: | 1679521280 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TONNU | ||||||||
| FirstName: | ANH | ||||||||
| MiddleName: | TRAM | ||||||||
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| Credential: | O.D. (OPTOMETRIST) | ||||||||
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| Mailing Information | |||||||||
| Address1: | 413 ALDERSON ST | ||||||||
| Address2: | |||||||||
| City: | EL CAJON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920192343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6198061194 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6945 EL CAJON BLVD | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921151754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008982020 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 12/01/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 11318T | CA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.