Provider Demographics
NPI:1578046546
Name:AZARIAN, NARINE S (OD)
Entity Type:Individual
Prefix:DR
First Name:NARINE
Middle Name:S
Last Name:AZARIAN
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 1:14810 HARTLAND ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3852
Mailing Address - Country:US
Mailing Address - Phone:818-635-4238
Mailing Address - Fax:
Practice Address - Street 1:14810 HARTLAND ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3852
Practice Address - Country:US
Practice Address - Phone:818-635-4238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34104152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist