Provider Demographics
NPI:1508389032
Name:LABA, ALINA (OD)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:LABA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:PECHKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1700 BRUCE RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7941
Mailing Address - Country:US
Mailing Address - Phone:530-891-1900
Mailing Address - Fax:530-895-1664
Practice Address - Street 1:320 H ST STE 4
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5834
Practice Address - Country:US
Practice Address - Phone:530-743-1873
Practice Address - Fax:530-743-1460
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33773152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist