Dr. Larry Lee Alenbaugh, O.P.T
Optometrist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1881631885
StatusActive
Last updated in NPPESFeb 25, 2020
Details
- NPI
- 1881631885
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry Lee Alenbaugh
- Credential
- O.P.T
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2006
- Certification date
- Feb 25, 2020
- Last updated
- Feb 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT 12542T | CA | Yes |
Practice location
150 N Reno StLos Angeles, CA 90026-4656
Phone 323-669-4326 · Fax 323-953-3658
Mailing address
950 S Grand Ave Fl 2Los Angeles, CA 90015-3999
Phone 323-669-4346 · Fax 323-635-1891
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