Organization
OFFICE OF ALAN LEVENTHAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN LU (MANAGER)
(818) 957-8942
Entity
Organization
Contact information
Practice address
5544 WHITTIER BLVD, COMMERCE, CA 90022-4104
(323) 721-4488
(323) 721-4788
Mailing address
5544 WHITTIER BLVD, COMMERCE, CA 90022-4104
(323) 721-4488
(323) 721-4788
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
SL5153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA6075
EYEMED
CA
Enumeration date
05/10/2011
Last updated
05/10/2011
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