Michael W Hansen Od INC
NPI #1245653617 in Redondo Beach, California
Provider Information
- NPI Number
- 1245653617
- Entity Type
- Organization
- Organization Name
- Michael W Hansen Od INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 21, 2014
- Last Updated
- Jan 22, 2014
Practice Location
- Address
- 310 AVENUE I
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-5601
- Phone
- (310) 373-3191
Authorized Official
- Name
- MICHAEL HANSEN, OD
- Title
- OWNER
- Phone
- (310) 321-6990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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