Organization
MANUEL MASAGANDA FERRERAS
Active
Other names
All State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL MASAGANDA FERRERAS (OWNER OPTICIAN)
(323) 663-7511
Entity
Organization
Contact information
Practice address
1131 N VERMONT AVE STE 101, LOS ANGELES, CA 90029
(328) 663-7511
(323) 663-1104
Mailing address
1131 N VERMONT AVE STE 101, LOS ANGELES, CA 90029
(328) 663-7511
(323) 663-1104
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL 1432 - 02-10-1988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DX003704F
—
CA
Enumeration date
09/18/2007
Last updated
09/18/2007
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