National Provider Identifier Database

MANUEL MASAGANDA FERRERAS
Optician


Contact Information

MANUEL MASAGANDA FERRERAS
1131 N VERMONT AVE STE 101
LOS ANGELES, CA90029
Phone: 328-663-7511
Fax: 323-663-1104
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for MANUEL MASAGANDA FERRERAS

NPI Number 1427244060
Legal business name
LBN
MANUEL MASAGANDA FERRERAS
Authorized official MANUEL FERRERAS - (OWNER OPTICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/18/2007
Last updated 09/18/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: SL 1432 - 02-10-1988
  • CA Medicaid: DX003704F

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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