Provider Demographics
NPI:1780188631
Name:HECTOR DUENAS GONZALEZ, O.D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HECTOR DUENAS GONZALEZ, O.D., A PROFESSIONAL CORPORATION
Other - Org Name:FIGUEROA OPTOMETRY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DUENAS GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:323-683-2285
Mailing Address - Street 1:2524 S FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-2549
Mailing Address - Country:US
Mailing Address - Phone:213-749-3888
Mailing Address - Fax:213-747-8670
Practice Address - Street 1:2524 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-2549
Practice Address - Country:US
Practice Address - Phone:213-749-3888
Practice Address - Fax:213-747-8670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14450152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14450OtherOPTOMETRY LICENSE