Individual
DR. ANI HALABI KHROYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
413 E GLENOAKS BLVD, SUITE #B, GLENDALE, CA 91207-2013
(818) 230-0550
(818) 244-8175
Mailing address
413 E GLENOAKS BLVD, SUITE #B, GLENDALE, CA 91207-2013
(818) 230-0550
(818) 244-8175
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12807 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EA 696Z
MEDICARE PTAN INDIVIDUAL
CA
01
—
EZ690A
MEDICARE GROUP PTAN
CA
Enumeration date
08/31/2006
Last updated
04/27/2015
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