Individual
TATEVIK SIMONYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
7867 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(323) 654-3440
(323) 654-3813
Mailing address
7867 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5344
(323) 654-3440
(323) 654-3813
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
20500013
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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