Provider Demographics
NPI:1053576124
Name:HOSHI, NATALIE LUE (OD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:LUE
Last Name:HOSHI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:S
Other - Last Name:LUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1255 S. DIAMOND BAR BLVD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765
Mailing Address - Country:US
Mailing Address - Phone:909-861-4999
Mailing Address - Fax:
Practice Address - Street 1:1255 S DIAMOND BAR BLVD
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-4122
Practice Address - Country:US
Practice Address - Phone:909-861-4999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007323-1152WP0200X
CA13920152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics