Provider Demographics
NPI:1629706023
Name:KARAHAGOPIAN, NATALY (OD)
Entity Type:Individual
Prefix:
First Name:NATALY
Middle Name:
Last Name:KARAHAGOPIAN
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 1:3301 E MAIN ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-0910
Mailing Address - Country:US
Mailing Address - Phone:805-650-8477
Mailing Address - Fax:
Practice Address - Street 1:3301 E MAIN ST STE 1006
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-0910
Practice Address - Country:US
Practice Address - Phone:805-650-8477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35162TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist