Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT 5236 TPA | CA |
NPI | 1073573515 |
---|---|
Provider Name | Dr. Adam D. Krahling |
First Address | La Mirada, CA 90638-1504 |
Second Address | Bellflower, CA 90706-3260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 08/07/2007 |