Individual
DR. JAMES ROBERT HENSLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
27451 LA PAZ RD, SUITE B, LAGUNA NIGUEL, CA 92677-4082
(949) 643-2020
(949) 643-9061
Mailing address
27451 LA PAZ RD, SUITE B, LAGUNA NIGUEL, CA 92677-4082
(949) 643-2020
(949) 643-9061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 9009 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0090090
—
CA
Enumeration date
12/27/2006
Last updated
11/12/2008
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