DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VYACHESLAV SAMSANOVICH

Active Sole Proprietor

VYACHESLAV SAMSANOVICH is a Optician, Dispensing healthcare provider located in TARZANA, California. NPI 1033386495 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · TARZANA, CA

Registration Details

NPI Number
1033386495
Provider Type
Individual
Gender
Male
NPI Issued
May 14, 2008 (18.277198742245 yrs)
Last Updated
May 14, 2008
License
SL4691 (CA)
Sole Proprietor
Yes

Practice Information

Address
18663 VENTURA BLVD
SUITE #108
TARZANA, CA, 913564162
Browse CA providers · Browse ZIP 91356
Phone
8188811485
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in TARZANA, CA

Name Credential NPI
MISS SAIA AMOURIS LUNDY 1124487020
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.