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NPI Code Detail

MEDICARE: HAMLET MINASVAND PROF CORP

MEDICARE: HAMLET MINASVAND PROF CORP
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
1152W00000XOptometrist11567TCA

General Provider Information

NPI Number : 1235141144
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMLET MINASVAND PROF CORP
Provider Business Mailing Address
First Line : 7188 W SUNSET BLVD
Second Line : UNIT 200
City : LOS ANGELES
State : CA
Zip : 90046-4400
Country : US
Telephone Number : 818-439-2021
Fax Number :
Provider Business Practice Location Address
First Line : 7188 W SUNSET BLVD
Second Line : UNIT 200
City : LOS ANGELES
State : CA
Zip : 90046-4400
Country : US
Telephone Number : 818-439-2021
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HAMLET MINASVAND
Credential : O.D.
Telephone Number : 818-439-2021
Provider Enumeration Date : 08/12/2006
Last Update Date : 08/22/2020

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Directions to “HAMLET MINASVAND PROF CORP ” Practice Location

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