| Viktoria Goldenberg,od Optometry Corporation | |
|
6433 Fallbrook Ave West Hills CA 91307-3543 | |
| (818) 703-1410 | |
| (818) 703-9079 |
| Full Name | Viktoria Goldenberg,od Optometry Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 6433 Fallbrook Ave, West Hills, California |
| Authorized Official Name and Position | Viktoriya Goldenberg (CEO) |
| Authorized Official Contact | 3238044794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Viktoria Goldenberg,od Optometry Corporation 8554 De Soto Ave Unit 44 Canoga Park CA 91304-2993 Ph: (323) 804-4794 | Viktoria Goldenberg,od Optometry Corporation 6433 Fallbrook Ave West Hills CA 91307-3543 Ph: (818) 703-1410 |
| NPI Number | 1992984991 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 09/18/2012 |
| Medicare PECOS PAC ID | 1658458179 |
|---|---|
| Medicare Enrollment ID | O20121112000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992984991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12754T (California) | Primary |
| Provider Name | Viktoria Goldenberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538290929 PECOS PAC ID: 3072698406 Enrollment ID: I20080310000699 |
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