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Individual

AIDA AMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5363 BALBOA BLVD STE 141, ENCINO, CA 91316-2821
(818) 728-0440
Mailing address
PO BOX 18331, ENCINO, CA 91416-8331

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34387TLG
CA

Other

Enumeration date
09/08/2019
Last updated
09/08/2019
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