Astafiev, Alexander

Astafiev, Alexander is an sole proprietor health care provider with primary practice located at 500 E Olive Ave Ste 103 , Burbank CA 91501-2171. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Astafiev, Alexander can be contacted via phone (818) 861-7902.

Contact Information

Primary practice address
500 E Olive Ave Ste 103 Burbank CA 91501-2171
Phone: (818) 861-7902
Fax: (818) 861-7385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X California

Profile Details

NPI number 1770187502
LBN Legal business name Astafiev, Alexander
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770187502 NPPES
Nevada Other 1603015574 DRIVERS LICENSE

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