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Individual

CHARLES F BITTEL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
270 LAGUNA RD, SUITE 100, FULLERTON, CA 92835-2521
(714) 525-2375
(714) 871-9280
Mailing address
270 LAGUNA RD, SUITE 100, FULLERTON, CA 92835-2521
(714) 525-2375
(714) 871-9280

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 13002 TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OPT 13002 TPA
STATE LICENSE
CA
Enumeration date
05/11/2007
Last updated
07/08/2007
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