Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT4966 | CA |
NPI | 1003942798 |
---|---|
Provider Name | Dr. Christopher Hair |
First Address | Agoura Hills, CA 91301-1651 |
Second Address | Agoura Hills, CA 91301-1651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 13/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T69977 | (02) | CA |