person
Gennady Gary Bdil
Optician in Los Angeles, California
NPI 1023158060

Gennady Gary Bdil is a Optician based in Los Angeles, CA and is specialized in Optician. Gennady Gary Bdil practices in Los Angeles, CA. The NPI Number for Gennady Gary Bdil is 1023158060 and holds a License No. D 6860 (California).

The current practice location address for Gennady Gary Bdil is 453 N Fairfax Ave, Los Angeles, CA and can be reached out via phone at 323-651-5976 and via fax at 323-651-5367.

Location: 453 N Fairfax Ave, Los Angeles, CA, 90036-1716
person
Provider Profile Details
NPI Number
1023158060
Provider Name
Gennady Gary Bdil
Credential
Provider Entity Type
Individual
Gender
Male
Address
453 N Fairfax Ave, Los Angeles, CA, 90036-1716
Phone Number
323-651-5976
Fax Number
323-651-5367
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DX006860F 05 CA
institution
Provider Business Practice Location Address Details
Address
453 N Fairfax Ave
City
State
Zip
90036-1716
Phone Number
323-651-5976
Fax Number
323-651-5367
person
Provider Business Mailing Address Details
Address
453 N Fairfax Ave
City
State
Zip
90036-1716
Phone Number
323-651-5976
Fax Number
323-651-5367
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
D 6860 (California)
Definition
Definition to come...
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