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Individual

DR. ALAN H. LEVENTHAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
14461 MERCED AVE STE 101, BALDWIN PARK, CA 91706-5173
(626) 939-4588
(626) 939-4590
Mailing address
24707 RIVERCHASE DR APT 7204, VALENCIA, CA 91355-1428
(619) 507-6663
(626) 939-4590

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6075 TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APPLIED FOR
CA
Enumeration date
06/26/2006
Last updated
07/19/2012
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