Organization
VERDUGO OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA DERKALOUSDIAN (OWNER)
(818) 952-1124
Entity
Organization
Contact information
Practice address
1808 VERDUGO BLVD, #120, GLENDALE, CA 91208-1477
(818) 952-1124
(818) 952-3809
Mailing address
1808 VERDUGO BLVD, #120, GLENDALE, CA 91208-1477
(818) 952-1124
(818) 952-3809
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D70721
CA
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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