Gennady Gary Bdil
Technician/Technologist, Optician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1023158060
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1023158060
- Entity type
- Individual (NPI-1)
- Name
- Gennady Gary Bdil
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | d 6860 | CA | Yes |
Practice location
453 N Fairfax AveLos Angeles, CA 90036-1716
Phone 323-651-5976 · Fax 323-651-5367
Mailing address
453 N Fairfax AveLos Angeles, CA 90036-1716
Phone 323-651-5976 · Fax 323-651-5367
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