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Organization
ROSHANAK NASR O.D. A PROFESSIONAL CORPORATION
Active
Organization
ROSHANAK NASR O.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHANAK NASR OD (PRESIDENT)
(714) 606-5505
Entity
Organization
Contact information
Practice address
9418 FIRESTONE BLVD, DOWNEY, CA 90241-5504
(562) 869-3937
Mailing address
9418 FIRESTONE BLVD, DOWNEY, CA 90241-5504
(562) 869-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11928TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11928TLG
OPTOMETRIC LICENSE
CA
Enumeration date
01/25/2017
Last updated
01/23/2018
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