Individual
ANI KAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 728-6800
(818) 728-1466
Mailing address
9448 CHARRICK DR, TUJUNGA, CA 91042-3205
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB274696
MEDICARE
—
Enumeration date
08/27/2016
Last updated
07/10/2019
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