Provider Demographics
NPI:1619316874
Name:HU, JIAMIN (OD)
Entity Type:Individual
Prefix:DR
First Name:JIAMIN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JASMIN
Other - Middle Name:
Other - Last Name:HU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:201 S ALVARADO ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2320
Mailing Address - Country:US
Mailing Address - Phone:213-413-7300
Mailing Address - Fax:
Practice Address - Street 1:201 S ALVARADO ST
Practice Address - Street 2:SUITE 500
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2320
Practice Address - Country:US
Practice Address - Phone:213-413-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14637TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist