| Doctor Name: | MR. LEVON AVAKIAN |
| NPI Number: | 1023164274 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RDO |
| License Number: | D 6425 |
| Business Practice Address: | 17839 Chatsworth St Granada Hills, CA - 913445612 |
| Business Phone Number: | 8184881764 |
| Business Fax Number: | 8184881691 |
| Mailing Address: | 17839 Chatsworth St, GRANADA HILLS |
| State: | CA |
| Postal Code: | 913445612 |
| Phone Number: | 8184881764 |
| Fax Number: | 8184881691 |
| NPI Enumeration Date: | 01/27/2007 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | D 6425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |