Healthcare Provider Details

I. General information

NPI: 1770998882
Provider Name (Legal Business Name): NARO BABAIAN MARUKIAN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 VAN NUYS BLVD
VAN NUYS CA
91405-1962
US

IV. Provider business mailing address

7500 VAN NUYS BLVD
VAN NUYS CA
91405-1962
US

V. Phone/Fax

Practice location:
  • Phone: 661-775-1860
  • Fax:
Mailing address:
  • Phone: 818-627-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number14959
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: