MANUEL MASAGANDA FERRERAS


Address: 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029
Phone: 3286637511

MANUEL MASAGANDA FERRERAS (NPI# 1427244060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427244060
Entity Type Organization
Organization Name MANUEL MASAGANDA FERRERAS
Other Organization Name ALL STATE OPTICAL
Practice Address 1131 N Vermont Ave Ste 101
Los Angeles
CA 90029
Practice Telephone 3286637511
Practice Fax Number 3236631104
Mailing Telephone 3286637511
Mailing Fax Number 3236631104
Enumeration Date 2007-09-18
Last Update Date 2007-09-18
Authorized Official Name MR. MANUEL MASAGANDA FERRERAS (OWNER OPTICIAN)
Authorized Official Telephone 3236637511
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
SL 1432 - 02-10- CA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DX003704F 05

Other Provider/Organization Names

Other Name Type Code
All State Optical Doing Business As Name - Organization

Office Location

Street Address 1131 N VERMONT AVE STE 101
City LOS ANGELES
State CA
Zip Code 90029

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1154576155 Clearview Vision Technician/Technologist 5419 W Sunset Blvd, Los Angeles, CA 90027-5691 2008-11-19
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Competitor

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City LOS ANGELES
Zip Code 90029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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