Healthcare Provider Details

I. General information

NPI: 1588846364
Provider Name (Legal Business Name): BEST FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12157 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-3204
US

IV. Provider business mailing address

12157 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-3204
US

V. Phone/Fax

Practice location:
  • Phone: 818-754-0959
  • Fax: 818-754-0954
Mailing address:
  • Phone: 818-754-0959
  • Fax: 818-754-0954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT8220
License Number StateCA

VIII. Authorized Official

Name: HOVANES JOHN TER-ZAKARIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-754-0959