Individual provider · NPI-1

Dr. Adrina Alahdadi-Ovanessian, O.D.

Optometrist · Los Angeles, CA

NPI number1942333596
StatusActive
Last updated in NPPESDec 23, 2011

Details

NPI
1942333596
Entity type
Individual (NPI-1)
Name
Dr. Adrina Alahdadi-Ovanessian
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 13, 2007
Last updated
Dec 23, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT 12108 TPACAYes

Practice location

4170 Verdugo Rd
Los Angeles, CA 90065-3821

Phone 323-255-8093 · Fax 323-255-8095

Mailing address

4170 Verdugo Rd
Los Angeles, CA 90065-3821

Phone 323-255-8093 · Fax 323-255-8095

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