Provider Demographics
NPI:1639636343
Name:JANSZYAN, ANI (OD)
Entity type:Individual
Prefix:DR
First Name:ANI
Middle Name:
Last Name:JANSZYAN
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 1:11996 VENTURA BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2606
Mailing Address - Country:US
Mailing Address - Phone:818-763-1875
Mailing Address - Fax:818-505-0165
Practice Address - Street 1:11996 VENTURA BLVD STE B
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2606
Practice Address - Country:US
Practice Address - Phone:818-763-1875
Practice Address - Fax:818-505-0165
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34199TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist