Individual
MR. DAVID VAN HARTESVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
12902 FOOTHILL BLVD, SUITE H, SYLMAR, CA 91342-4900
(818) 837-3818
(818) 837-3820
Mailing address
12902 FOOTHILL BLVD, SUITE H, SYLMAR, CA 91342-4900
(818) 837-3818
(818) 837-3820
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
CL1190
CA
156FX1800X
Optician
Primary
SL4082
CA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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