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Organization

EL PORTAL OPTOMETRY, INC

Active
Other names
Valley Optometry Eyecare of North Hollywood
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDY KONGSAKUL OD (PRESIDENT)
(818) 769-2020
Entity
Organization

Contact information

Practice address
5269 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91601-3111
(818) 769-2020
(818) 769-2021
Mailing address
5269 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91601-3111
(818) 769-2020
(818) 769-2021

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13639 LTG
CA

Other

Enumeration date
10/17/2011
Last updated
05/21/2025
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