| El Portal Optometry, Inc | |
|
5269 Lankershim Blvd, North Hollywood, CA 91601-3111 | |
| (818) 769-2020 | |
| (818) 769-2021 |
| Full Name | El Portal Optometry, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5269 Lankershim Blvd, North Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215212626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13639 LTG (California) | Primary |
| Provider Name | Andy Kongsakul |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497949267 PECOS PAC ID: 1557416963 Enrollment ID: I20090909000442 |
| Provider Name | Kristal Chikayo Kawamoto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730335845 PECOS PAC ID: 9234383134 Enrollment ID: I20130130000295 |
| Mailing Address | Practice Location Address |
|---|---|
| El Portal Optometry, Inc 5269 Lankershim Blvd, North Hollywood, CA 91601-3111 Ph: (818) 769-2020 | El Portal Optometry, Inc 5269 Lankershim Blvd, North Hollywood, CA 91601-3111 Ph: (818) 769-2020 |
Dr. Serena M Hajati, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4444 Lankershim Blvd, Suite 206, North Hollywood, CA 91602 Phone: 818-762-7744 | |
Dr. Christina Nga Lu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4418 Vineland Ave, Suite 106, North Hollywood, CA 91602 Phone: 818-762-0996 | |
Mayra Carolina Lazo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6765 Lankershim Blvd, North Hollywood, CA 91606 Phone: 818-982-0076 | |
Ann Thy Ngo, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6502 Coldwater Canyon Ave, North Hollywood, CA 91606 Phone: 818-821-0052 | |
Dr. Violeta Paronian, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6765 Lankershim Blvd, North Hollywood, CA 91606 Phone: 818-982-0076 | |
Minasvand Optometry Group Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12826 Victory Blvd, Suite D, North Hollywood, CA 91606 Phone: 818-439-2021 | |
Robert F. Collins Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6765 Lankershim Blvd, North Hollywood, CA 91606 Phone: 818-982-0076 Fax: 818-982-0634 |