MR. DIKRAM MEKERDIAN


Address: 20111 Saticoy St, Canoga Park, CA 91306-2506
Phone: 8184071217

MR. DIKRAM MEKERDIAN (NPI# 1598951675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598951675
Entity Type Individual
Full Name MR. DIKRAM MEKERDIAN
Credential OPTICIAN
Practice Address 20111 Saticoy St
Canoga Park
CA 91306-2506
Practice Telephone 8184071217
Practice Fax Number 8184071217
Mailing Telephone 8184071217
Mailing Fax Number 8184071217
Enumeration Date 2007-09-21
Last Update Date 2007-09-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
D7002 CA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PROVIDER NUMBER DX002075F 01

Office Location

Street Address 20111 SATICOY ST
City CANOGA PARK
State CA
Zip Code 91306-2506

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609413665 Yan Zlatin Technician/Technologist 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 2019-12-09
1255984191 Carlos F Mendoza Technician/Technologist 22323 Sherman Way Ste 14, Canoga Park, CA 91303-4310 2019-07-19

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Competitor

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City CANOGA PARK
Zip Code 91306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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