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Organization
RUSSELL HOSAKA OD INC A PROFESSIONAL CORPORATION
Active
Organization
RUSSELL HOSAKA OD INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HOSAKA OD (OWNER)
(310) 373-9993
Entity
Organization
Contact information
Practice address
22809 HAWTHORNE BLVD, TORRANCE, CA 90505-3615
(310) 373-9993
(310) 373-4505
Mailing address
22809 HAWTHORNE BLVD, TORRANCE, CA 90505-3615
(310) 373-9993
(310) 373-4505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP7226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT7226
LICENSE
CA
Enumeration date
03/08/2007
Last updated
10/15/2014
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