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Individual

MR. HAMBARTSUM H KESTENIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
804 S VICTORY BLVD, BURBANK, CA 91502-2427
(818) 842-4747
(818) 843-0065
Mailing address
3123 GRANGEMOUNT RD, GLENDALE, CA 91206-1122
(818) 842-4747
(818) 843-0065

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6664
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DX0066640
CA
Enumeration date
05/31/2007
Last updated
07/09/2007
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