Individual
HAKOP KHURDAJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1843 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-4603
(800) 954-8000
Mailing address
1843 1/2 S LA CIENEGA BLVD, LOS ANGELES, CA 90035-4603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33511-TLG
CA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT33511-TLF
CA
152WL0500X
Low Vision Rehabilitation Optometrist
OPT33511-TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2016
Last updated
10/28/2021
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