Organization
BOAZ EYEWEAR OPT,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYU HWAN JANG OPTICIAN (CEO)
(213) 389-1001
Entity
Organization
Contact information
Practice address
621 S WESTERN AVE STE 214, LOS ANGELES, CA 90005-3042
(213) 389-1001
(213) 389-1002
Mailing address
621 S WESTERN AVE STE 214, LOS ANGELES, CA 90005-3042
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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