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NAZARETH E DARAKJIAN MD NPI 1306016357


NPI Information

NPI: 1306016357
Provider Name: NAZARETH E DARAKJIAN MD
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
5101 SANTA MONICA BLVD
SUITE 4A
LOS ANGELES, CA
ZIP 90029
Phone: (323) 665-5572
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NAZARETH E DARAKJIAN MD is an eyewear supplier in Los Angeles, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NAZARETH E DARAKJIAN MD NPI is 1306016357. The provider is registered as an organization entity type.

The provider's business location address is:

5101 SANTA MONICA BLVD
SUITE 4A
LOS ANGELES, CA
ZIP 90029-478
Phone: (323) 665-5572
Fax: (323) 665-5579

The provider's authorized official is Nazareth E Darakjian .
The authorized official title is Owner and has the following contact phone number (323) 665-5572.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierG44736CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G447361MEDICAIDCALIFORNIA
2G44736AMEDICARE PINCALIFORNIA
3A92521MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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