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NPI Code Detail

MEDICARE: SIRANUSH SARKISYAN OD

MEDICARE: SIRANUSH SARKISYAN OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT33845-TLGCA

General Provider Information

NPI Number : 1134632912
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIRANUSH SARKISYAN OD
Provider Business Mailing Address
First Line : 7405 VALAHO LN
Second Line :
City : TUJUNGA
State : CA
Zip : 91042-2659
Country : US
Telephone Number : 818-434-7930
Fax Number :
Provider Business Practice Location Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number : 818-265-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 11/15/2017

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Directions to “ SIRANUSH SARKISYAN OD” Practice Location

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