Healthcare Provider Details

I. General information

NPI: 1407175847
Provider Name (Legal Business Name): BIANA OHANIAN-GONCUIAN A PROFESSIONAL OPTOMETRY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7325 MEDICAL CENTER DR STE 208
WEST HILLS CA
91307-1911
US

IV. Provider business mailing address

7325 MEDICAL CENTER DR STE 208
WEST HILLS CA
91307-1911
US

V. Phone/Fax

Practice location:
  • Phone: 818-340-2800
  • Fax: 818-340-8388
Mailing address:
  • Phone: 818-340-2800
  • Fax: 818-340-8388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number9955T
License Number StateCA

VIII. Authorized Official

Name: BIANA LERNA OHANIAN-GONCUIAN
Title or Position: OWNER OD
Credential:
Phone: 818-340-2800