Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 14668 | CA |
NPI | 1013358852 |
---|---|
Provider Name | Dr. Rosalyn Ohebsian Nassiripour |
First Address | Sherman Oaks, CA 91403-5749 |
Second Address | Sherman Oaks, CA 91403-5749 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 28/11/2016 |