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Organization
STEPHEN G BORNFELD OD INC
Active
Organization
STEPHEN G BORNFELD OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G BORNFELD O.D. (PRESIDENT)
(626) 446-2122
Entity
Organization
Contact information
Practice address
622 W DUARTE RD, SUITE 101, ARCADIA, CA 91007-7606
(626) 446-2122
(626) 446-0513
Mailing address
622 W DUARTE RD, SUITE 101, ARCADIA, CA 91007-7606
(626) 446-2122
(626) 446-0513
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 5505 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0055050
—
CA
Enumeration date
01/28/2013
Last updated
01/28/2013
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