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General NPI Number Information
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NPI Number | 1487087474
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Entity Type | Individual
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Provider Name | SARA KAZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 10250 SANTA MONICA BLVD #26
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City | LOS ANGELES
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State | CA
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Zip | 90067-6501
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Country | US
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Telephone | 310-552-8045
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Fax |
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Provider Business Mailing Address
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Address Line | 12217 MORRISON ST
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3626
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Country | US
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Telephone | 818-304-6946
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14740
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License Number State | CA
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