Provider Demographics
NPI:1104239078
Name:KNAJIAN, RAZMIG (OD)
Entity type:Individual
Prefix:
First Name:RAZMIG
Middle Name:
Last Name:KNAJIAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18052 CULVER DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2730
Mailing Address - Country:US
Mailing Address - Phone:949-502-0123
Mailing Address - Fax:949-502-0129
Practice Address - Street 1:35875 WARM SPRINGS PKWY
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4538
Practice Address - Country:US
Practice Address - Phone:949-220-6390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-08
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10648152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist