Individual provider · NPI-1
Charles J Alson, OD
Optometrist · Los Angeles, CA
NPI number1174690929
StatusActive
Last updated in NPPESSep 23, 2008
Details
- NPI
- 1174690929
- Entity type
- Individual (NPI-1)
- Name
- Charles J Alson
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Sep 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT04862 | CA | Yes |
Practice location
4733 W Sunset BlvdLos Angeles, CA 90027-6021
Phone 323-783-4011
Mailing address
4733 W Sunset BlvdLos Angeles, CA 90027-6021
Phone 323-783-4011
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