Individual provider · NPI-1

Jean Barsoumian, A.B.O.

Technician/Technologist, Optician · Los Angeles, CA

NPI number1356426266
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1356426266
Entity type
Individual (NPI-1)
Name
Mr. Jean Barsoumian
Credential
A.B.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 26, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician3272CAYes

Practice location

1300 N Vermont Ave
Ste 103
Los Angeles, CA 90027-6005

Phone 323-662-4785 · Fax 323-662-4787

Mailing address

12073 Dunblane Ave
Northridge, CA 91326-1133

Phone 323-662-4785 · Fax 323-662-4787

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