Individual
ANGELA SHAHBAZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
230 MINOR HL, BERKELEY, CA 94720-2020
(510) 642-2020
Mailing address
230 MINOR HL, BERKELEY, CA 94720-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33516
CA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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