MEDICARE: DR. ELHAM ZARABIAN O.D.

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
1	152W00000X	Optometrist	11991 T	CA

General Provider Information

NPI Number	:	1417034828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELHAM ZARABIAN O.D.

Provider Business Mailing Address
First Line	:	306 N PALM DR
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4919
Country	:	US
Telephone Number	:	310-666-8726
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 COLDWATER CANYON AVE
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91605-5162
Country	:	US
Telephone Number	:	818-764-7047
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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