Search › California › 152W00000X
Andy Kongsakul, O.D
NPI 1497949267 · on the registry since 2007 · sole proprietor
Practice
- Address
- 19636 Sherman Way
Reseda, CA 91335 - Phone
- (818) 774-2020
- Fax
- (818) 774-2021
- Organisation at this address
- Valley Optometry Eyecare Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 16907 San Fernando Mission Blvd, Granada Hills, CA
- 5269 Lankershim Blvd, North Hollywood, CA
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- CA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California