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General NPI Number Information
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NPI Number | 1538913918
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Entity Type | Individual
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Provider Name | ASHCON ALIZADEH OD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 2001 VENTURA BLVD
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City | OXNARD
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State | CA
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Zip | 93036-1813
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Country | US
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Telephone | 805-988-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 DAMICO ST UNIT 504
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City | HOUSTON
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State | TX
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Zip | 77019-1974
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Country | US
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Telephone | 832-643-7755
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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 | SOL15050
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License Number State | CA
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