Individual
DR. CAROL AIVAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
23300 CINEMA DR STE 210, VALENCIA, CA 91355-1776
(661) 287-3939
(661) 287-3838
Mailing address
23300 CINEMA DR STE 210, VALENCIA, CA 91355-1776
(661) 287-3939
(661) 287-3838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11039T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WOP11039C
MEDICARE PTAN
CA
Enumeration date
11/14/2006
Last updated
05/03/2017
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