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Individual

DR. BRUCE ALLEN HORNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
330 N BRAND BLVD, SUITE 110, GLENDALE, CA 91203-2308
(818) 956-7899
(818) 241-0468
Mailing address
330 N BRAND BLVD, SUITE 110, GLENDALE, CA 91203-2308
(818) 956-7899
(818) 241-0468

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 7814 TPG
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558432633
CA
01
4227033
AETNA PROVIDER ID
CA
01
910940
EYEMED COLE VISION ID
CA
Enumeration date
11/12/2006
Last updated
03/04/2012
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