Provider Demographics
NPI:1174053011
Name:AMOROSO, JILLYN LONTOC SORIANO (OD)
Entity type:Individual
Prefix:DR
First Name:JILLYN
Middle Name:LONTOC SORIANO
Last Name:AMOROSO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:8603 MOODY ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2218
Mailing Address - Country:US
Mailing Address - Phone:562-715-7805
Mailing Address - Fax:
Practice Address - Street 1:8970 APOLLO WAY SPC A9-B
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-4030
Practice Address - Country:US
Practice Address - Phone:562-861-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33705TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist