Individual
BRIAN ISAIAH IGBINIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DISPENCING OPTICIAN
Contact information
Practice address
10885 W PICO BLVD, LOS ANGELES, CA 90064-2114
(310) 470-2555
(310) 470-2635
Mailing address
10885 W PICO BLVD, LOS ANGELES, CA 90064-2114
(310) 470-2555
(310) 470-2635
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL 5634
CA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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