Provider Demographics
NPI:1134697600
Name:KARINE SHAGHOYAN INC
Entity Type:Organization
Organization Name:KARINE SHAGHOYAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAGHOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:818-370-7262
Mailing Address - Street 1:10605 BALBOA BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-6344
Mailing Address - Country:US
Mailing Address - Phone:818-368-4114
Mailing Address - Fax:818-366-2024
Practice Address - Street 1:10605 BALBOA BLVD STE 230
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6344
Practice Address - Country:US
Practice Address - Phone:818-368-4114
Practice Address - Fax:818-366-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty