Dr Harold Krajian OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

4659T Issued in CA

Legal business name

DR HAROLD KRAJIAN OD INC

Practice address

9496 Magnolia Ave
102
Riverside, CA 92503-3733

Phone

(951) 687-5312

Fax

(951) 359-0430

NPI assigned

Jul 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harold Krajian OD

Title

/President

Phone

(951) 687-5312

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1023248770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9496 MAGNOLIA AVE",
            "address_2": "102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033733",
            "telephone_number": "951-687-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9496 MAGNOLIA AVE",
            "address_2": "102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033733",
            "telephone_number": "951-687-5312",
            "fax_number": "951-359-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HAROLD KRAJIAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "KRAJIAN OD",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "/PRESIDENT",
        "authorized_official_telephone_number": "951-687-5312",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4659T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0046590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.