Michael W Hansen Od INC

NPI #1811319478 in El Segundo, California

Provider Information

NPI Number: 1811319478
Entity Type: Organization
Organization Name: Michael W Hansen Od INC
Primary Specialty: Optometrist
Enumeration Date: Jan 15, 2014
Last Updated: Jan 15, 2014

Practice Location

Address: 2101 ROSECRANS AVE
Address 2: STE 1215
City: El Segundo
State: California
ZIP Code: 90245-4749
Phone: (310) 321-6990

Authorized Official

Name: MICHAEL HANSEN, OD
Title: OWNER
Phone: (310) 321-6990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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