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Organization
MARVIN R KASANOFF OD A PROFESSIONAL CORPORATION
Active
Organization
MARVIN R KASANOFF OD A PROFESSIONAL CORPORATION
Active
Other names
New View Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK KASANOFF O.D. (OPTOMETRIST)
(619) 465-7900
Entity
Organization
Contact information
Practice address
7339 EL CAJON BLVD, G, LA MESA, CA 91942-7435
(619) 465-7900
(619) 839-3840
Mailing address
7339 EL CAJON BLVD, G, LA MESA, CA 91942-7435
(619) 465-7900
(619) 839-3840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
87755T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP8755A
MEDICARE NUMBER
CA
05
—
SD0087550
—
CA
Enumeration date
02/04/2010
Last updated
06/07/2010
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