Individual
EDGARD CANEVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
5908 VAN NUYS BLVD, VAN NUYS, CA 91401-3623
(818) 786-0758
Mailing address
5908 VAN NUYS BLVD, VAN NUYS, CA 91401-3623
(818) 786-0758
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
238704
CA
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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