Vyacheslav Samsanovich
NPI #1033386495 in Tarzana, California
Provider Information
- NPI Number
- 1033386495
- Entity Type
- Individual
- Name
- Vyacheslav Samsanovich
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 14, 2008
- Last Updated
- May 14, 2008
Practice Location
- Address
- 18663 VENTURA BLVD
- Address 2
- SUITE #108
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-4162
- Phone
- (818) 881-1485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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