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1104975374
HERTZOG OPTICAL, LLC
LONG BEACH, CA
NPI
1104975374
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Entity Type
Organization
Authorized Contact
LEIF MARK HERTZOG
Owner
562-595-8587
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CA G52761)
Enumeration Date
2007-01-09
Last Update Date
2009-03-05
Business Address
HERTZOG OPTICAL, LLC
2977 REDONDO AVE
LONG BEACH, CA 90806-2445
Phone number: 562-595-8587
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Mailing Address
HERTZOG OPTICAL, LLC
2977 REDONDO AVE
LONG BEACH, CA 90806-2445
Phone number: 562-595-8587
Copy
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