Individual
GARINEH MARTIROSSIAN NERSISYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
4783 COMMONS WAY, SUITE C, CALABASAS, CA 91302-3368
(818) 222-9465
(818) 222-9468
Mailing address
4783 COMMONS WAY, SUITE C, CALABASAS, CA 91302-3368
(818) 222-9465
(818) 222-9468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12142483
CAQH
CA
Enumeration date
07/21/2010
Last updated
01/26/2012
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