Organization
HOLLYWOOD OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERMIN LAHIJANI OD (OWNER)
(323) 667-2102
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD STE 117, LOS ANGELES, CA 90057-2254
(323) 667-2102
(323) 927-1799
Mailing address
2105 BEVERLY BLVD STE 117, LOS ANGELES, CA 90057-2254
(323) 667-2102
(323) 927-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0123190
—
CA
Enumeration date
06/19/2020
Last updated
06/19/2020
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