Individual
LILIA BABAKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25834 THE OLD RD, STEVENSON RANCH, CA 91381-1710
(818) 809-7335
Mailing address
18920 BAHAMA ST, NORTHRIDGE, CA 91324-3705
(818) 809-7335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
33784TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
33784
CA
152WC0802X
Corneal and Contact Management Optometrist
33784TLF
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033636766
—
CA
Enumeration date
08/23/2017
Last updated
07/19/2024
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