Vazagov, Kozur Irene
Vazagov, Kozur Irene is an sole proprietor health care provider with primary practice located at 488 E Santa Clara St Suite 105, Arcadia CA 91006-7229. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Vazagov, Kozur Irene can be contacted via phone (626) 357-2020.Contact Information
Primary practice address
488 E Santa Clara St Suite 105
Arcadia CA 91006-7229
Phone: (626) 357-2020
Fax: (626) 357-9020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10433T | California |
Profile Details
| NPI number | 1851476865 |
|---|---|
| LBN Legal business name | Vazagov, Kozur Irene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851476865 | NPPES |
| California | Other | 954509552 | BLUE CROSS |
| California | Other | 54220SD0104330 | BLUE CROSS |
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