Provider Demographics
NPI:1891059374
Name:WERNOW, ANGELA CHIA-YI (OD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:CHIA-YI
Last Name:WERNOW
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14726 RAMONA AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5730
Mailing Address - Country:US
Mailing Address - Phone:626-305-9100
Mailing Address - Fax:626-305-0152
Practice Address - Street 1:9975 CARMEL MOUNTAIN RD STE G6
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2800
Practice Address - Country:US
Practice Address - Phone:858-780-9889
Practice Address - Fax:858-780-9876
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3301152W00000X
CA35393152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist