# AYKANUSH SUNGULYAN OD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275103608
- **Authorized official:** DR. AYKANUSH SUNGULYAN OD (OPTOMETRIST)
- **Authorized official phone:** (818) 395-1852

## Contact information

- **Practice address:** 4518 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2913
- **Practice address phone:** (818) 501-6475
- **Mailing address:** 4518 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2913
- **Mailing address phone:** (818) 501-6475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 152WC0802X | Corneal and Contact Management Optometrist | — | NULL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2021
- **Last updated:** 06/27/2025
