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NPI Code Detail

MEDICARE: DR. ARAKS GHAZARYAN OD

MEDICARE: DR. ARAKS GHAZARYAN 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
1152W00000XOptometrist36162CA

General Provider Information

NPI Number : 1811841190
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARAKS GHAZARYAN OD
Provider Business Mailing Address
First Line : 732 W DRYDEN ST APT C
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number : 818-265-7755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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