Individual
DR. BENJAMIN HANBOK NA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3191 CROW CANYON PL, SUITE C, SAN RAMON, CA 94583-1349
(925) 244-1400
(925) 244-1414
Mailing address
3191 CROW CANYON PL, SUITE C, SAN RAMON, CA 94583-1349
(925) 244-1400
(925) 244-1414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11709TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0117090
—
CA
Enumeration date
06/12/2006
Last updated
06/25/2013
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