Sarajian, Ida A

Sarajian, Ida A is an individual health care provider with primary practice located at 330 N Brand Blvd Suite 110, Glendale CA 91203. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sarajian, Ida A can be contacted via phone (818) 241-4921.

Contact Information

Primary practice address
330 N Brand Blvd Suite 110 Glendale CA 91203
Phone: (818) 241-4921
Fax: (818) 241-0468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10412T California

Profile Details

NPI number 1588709190
LBN Legal business name Sarajian, Ida A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 18 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 1588709190 NPPES
California MEDICAID SD0104120
California Other WOP10412A

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