Individual
GRETA TOROSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
330 N BRAND BLVD, SUITE 110, GLENDALE, CA 91203-2308
(818) 956-3728
Mailing address
3522 MEVEL PL, LA CRESCENTA, CA 91214-1142
(818) 319-2603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11552T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0015520
—
CA
01
—
WOP11552B
MEDICARE PPIN
CA
Enumeration date
07/25/2006
Last updated
06/30/2014
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