Bdil, Gennady Gary
Bdil, Gennady Gary is an sole proprietor health care provider with primary practice located at 453 N Fairfax Ave , Los Angeles CA 90036-1716. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Bdil, Gennady Gary can be contacted via phone (323) 651-5976.Contact Information
Primary practice address
453 N Fairfax Ave
Los Angeles CA 90036-1716
Phone: (323) 651-5976
Fax: (323) 651-5367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | D 6860 | California |
Profile Details
| NPI number | 1023158060 |
|---|---|
| LBN Legal business name | Bdil, Gennady Gary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023158060 | NPPES |
| California | MEDICAID | DX006860F |
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