Organization
HANS CUSTOM OPTIK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANS W. FIEBIG OPTICIAN (OWNER)
(323) 462-5195
Entity
Organization
Contact information
Practice address
212 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3707
(323) 462-5195
(323) 462-5180
Mailing address
212 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3707
(323) 462-5195
(323) 462-5180
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D3775
CA
Other
Enumeration date
06/20/2007
Last updated
04/13/2009
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