Individual
AZA PIVAZYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6765 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91606
(818) 982-0076
Mailing address
8664 NAGLE AVE, PANORAMA CITY, CA 91402-4018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33429TLG
CA
Other
Enumeration date
07/08/2016
Last updated
02/01/2019
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