Henteleff, Ronald
Henteleff, Ronald is an sole proprietor health care provider with primary practice located at 13029 Victory Blvd , North Hollywood CA 91606-2925. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Henteleff, Ronald can be contacted via phone (818) 984-3333.Contact Information
Primary practice address
13029 Victory Blvd
North Hollywood CA 91606-2925
Phone: (818) 984-3333
Fax: (818) 984-3333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT6687 | California |
Profile Details
| NPI number | 1356435713 |
|---|---|
| LBN Legal business name | Henteleff, Ronald |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 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 | 1356435713 | NPPES |
| California | MEDICAID | SD0066870 |
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