Individual
DR. IDA A SARAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
330 N BRAND BLVD, SUITE 110, GLENDALE, CA 91203
(818) 241-4921
(818) 241-0468
Mailing address
330 N BRAND BLVD, SUITE 110, GLENDALE, CA 91203
(818) 241-4921
(818) 241-0468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10412T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0104120
—
CA
01
—
WOP10412A
PPIN
CA
Enumeration date
02/21/2007
Last updated
07/08/2007
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