Individual
MR. JEAN BARSOUMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.B.O.
Contact information
Practice address
1300 N VERMONT AVE, STE 103, LOS ANGELES, CA 90027-6005
(323) 662-4785
(323) 662-4787
Mailing address
12073 DUNBLANE AVE, NORTHRIDGE, CA 91326-1133
(323) 662-4785
(323) 662-4787
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3272
CA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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