MEDICARE: MRS. SOSEH MARKARIAN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	000000	CA

General Provider Information

NPI Number	:	1063131456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SOSEH MARKARIAN OD

Provider Business Mailing Address
First Line	:	4353 PARK TERRACE DR STE 150
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4639
Country	:	US
Telephone Number	:	818-687-6160
Fax Number	:

Provider Business Practice Location Address
First Line	:	632 E ORANGE GROVE AVE APT J
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91501-2843
Country	:	US
Telephone Number	:	818-687-6160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	06/27/2023

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