Provider Demographics
NPI:1083182398
Name:GABRIELYAN, ZARINE (OD)
Entity Type:Individual
Prefix:DR
First Name:ZARINE
Middle Name:
Last Name:GABRIELYAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 BETHANY RD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-3012
Mailing Address - Country:US
Mailing Address - Phone:323-445-6080
Mailing Address - Fax:
Practice Address - Street 1:288 N. SANTA ANITA AVE
Practice Address - Street 2:403
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3110
Practice Address - Country:US
Practice Address - Phone:626-574-0009
Practice Address - Fax:626-574-0488
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34133TLG152WC0802X, 152WP0200X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics