Organization
HOLLYWOOD OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERMIN LAHIJANI O.D. OD (OWNER)
(323) 667-2102
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE STE 703, LOS ANGELES, CA 90027-6089
(323) 667-2102
(323) 927-1799
Mailing address
1300 N VERMONT AVE STE 703, LOS ANGELES, CA 90027-6089
(323) 667-2102
(323) 927-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790169472
OTHER
FL
01
—
1801093570
OTHER
CA
01
—
1891764833
OTHER
CA
Enumeration date
12/04/2019
Last updated
12/04/2019
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