Individual
DR. HARRY E ENENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 728-6800
Mailing address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 728-6800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4796T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952689385
TAX ID
CA
05
—
GSD000700
—
CA
Enumeration date
12/15/2005
Last updated
11/19/2014
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