Individual
DR. IRWIN ROBERT DUDOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8101 SUNLAND BLVD, SUN VALLEY, CA 91352-3949
(818) 767-2050
(818) 767-2056
Mailing address
PO BOX 366, SUN VALLEY, CA 91353-0366
(818) 767-2050
(818) 767-2056
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP4775TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
OP4775TLG
CA
152WV0400X
Vision Therapy Optometrist
OP4775TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0047750
—
CA
Enumeration date
03/01/2006
Last updated
12/17/2013
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