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NPI Code Detail

MEDICARE: DR. BRONSON W. HAMADA O.D.

MEDICARE:  DR. BRONSON W. HAMADA  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist9003TLGCA

General Provider Information

NPI Number : 1447285028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRONSON W. HAMADA O.D.
Provider Business Mailing Address
First Line : 7192 EDINGER AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3505
Country : US
Telephone Number : 714-848-1400
Fax Number : 714-848-5198
Provider Business Practice Location Address
First Line : 7192 EDINGER AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3505
Country : US
Telephone Number : 714-848-1400
Fax Number : 714-843-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 08/21/2025

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