Whalio Doctors

NPI 1023158060

Gennady Gary Bdil

Practitioner Optician Los Angeles, CA

Practice location

Address
453 N Fairfax Ave, Los Angeles, CA 90036-1716
Phone
(323) 651-5976
Fax
(323) 651-5367

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence D 6860 (CA)

Registry record

NPI
1023158060
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Feb 2007
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.