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
1103 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-3311
(626) 441-0770
(626) 441-0990
Mailing address
1103 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-3311
(626) 441-0770
(626) 441-0990
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
05/05/2011
Last updated
05/05/2011
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