Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 33807TLG | CA |
Y | 152W00000X | Optometrist | OPT33807-TLG | CA |
NPI | 1003332248 |
---|---|
Provider Name | Argina Haghverdian |
First Address | Glendale, CA 91202-1892 |
Second Address | Northridge, CA 91324-6005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2017 |
Last Update Date | 21/04/2020 |