Organization
NAZARETH E DARAKJIAN
Active
Parent organization
NAZARETH E DARAKJIAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAZARETH E DARAKJIAN
Authorized official
DR. NAZARETH E DARAKJIAN M.D. (OWNER)
(626) 794-2356
Entity
Organization
Contact information
Practice address
2595 E WASHINGTON BLVD, SUITE 102, PASADENA, CA 91107-1409
(626) 794-2356
Mailing address
2595 E WASHINGTON BLVD, SUITE 102, PASADENA, CA 91107-1409
(626) 794-2356
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
G 44736
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G447360
—
CA
Enumeration date
05/28/2008
Last updated
07/23/2011
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