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Organization
JOHN E. MAANUM, O.D.
Active
Organization
JOHN E. MAANUM, O.D.
Active
Other names
Hawthorne Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MAANUM O.D. (OWNER)
(310) 676-2020
Entity
Organization
Contact information
Practice address
13427 INGLEWOOD AVE, HAWTHORNE, CA 90250-5608
(310) 676-2020
(310) 676-2645
Mailing address
13427 INGLEWOOD AVE, HAWTHORNE, CA 90250-5608
(310) 676-2020
(310) 676-2645
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11181T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111810
—
CA
Enumeration date
01/30/2007
Last updated
06/18/2008
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