Individual
DR. GLENN HIURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
38433 20TH ST E, PALMDALE, CA 93550-4034
(661) 947-2337
(661) 947-4431
Mailing address
38433 20TH ST E, PALMDALE, CA 93550-4034
(661) 947-2337
(661) 947-4431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7489 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN392A
MEDICARE PTAN
CA
Enumeration date
02/22/2007
Last updated
03/16/2010
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