Individual
DR. HOVHANNES HOVHANNISYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4501 S ALAMEDA ST STE G-29, VERNON, CA 90058-2010
(323) 231-0005
Mailing address
PO BOX 58125, VERNON, CA 90058-0125
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
35374
CA
Other
Enumeration date
06/03/2022
Last updated
12/22/2022
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