Provider Demographics
NPI:1659573947
Name:H.H. KESTEN, INC.
Entity Type:Organization
Organization Name:H.H. KESTEN, INC.
Other - Org Name:DBA EYE CARE OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMBARTSUM
Authorized Official - Middle Name:H
Authorized Official - Last Name:KESTENIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-842-4747
Mailing Address - Street 1:3123 GRANGEMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-1122
Mailing Address - Country:US
Mailing Address - Phone:818-842-4747
Mailing Address - Fax:818-843-0065
Practice Address - Street 1:804 S VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2427
Practice Address - Country:US
Practice Address - Phone:818-842-4747
Practice Address - Fax:818-843-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6664156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADX0066640Medicaid