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Organization

NAZARETH E DARAKJIAN MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAZARETH E DARAKJIAN M.D. (OWNER)
(323) 665-5572
Entity
Organization

Contact information

Practice address
5101 SANTA MONICA BLVD, SUITE 4A, LOS ANGELES, CA 90029-2478
(323) 665-5572
(323) 665-5579
Mailing address
5101 SANTA MONICA BLVD, SUITE 4A, LOS ANGELES, CA 90029-2478
(323) 665-5572
(323) 665-5579

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
G44736
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G447361
CA
Enumeration date
03/06/2008
Last updated
03/06/2008
Update your record

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