Organization
HENSEN AND PERLMAN ODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A HENSEN O.D. (OWNER)
(909) 627-8523
Entity
Organization
Contact information
Practice address
5385 WALNUT AVE, STE 2, CHINO, CA 91710-2605
(909) 627-8523
(909) 627-5183
Mailing address
5385 WALNUT AVE, STE 2, CHINO, CA 91710-2605
(909) 627-8523
(909) 627-5183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6671
CA
152W00000X
Optometrist
Primary
6686
CA
332H00000X
Eyewear Supplier
6671
CA
332H00000X
Eyewear Supplier
6686
CA
Other
Enumeration date
09/26/2007
Last updated
05/23/2013
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