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Alexander Astafiev
Technician/Technologist in Burbank, California
NPI 1770187502

Alexander Astafiev is a Technician/Technologist based in Burbank, CA. Alexander Astafiev practices in Burbank, CA. The NPI Number for Alexander Astafiev is 1770187502 and holds a License No. (California).

The current practice location address for Alexander Astafiev is 500 E Olive Ave Ste 103, Burbank, CA and can be reached out via phone at 818-861-7902 and via fax at 818-861-7385.

Location: 500 E Olive Ave Ste 103, Burbank, CA, 91501-2171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770187502
Provider Name
Alexander Astafiev
Credential
Provider Entity Type
Individual
Gender
Male
Address
500 E Olive Ave Ste 103, Burbank, CA, 91501-2171
Phone Number
818-861-7902
Fax Number
818-861-7385
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1603015574 01 NV DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
500 E Olive Ave Ste 103
City
Burbank
State
California
Zip
91501-2171
Phone Number
818-861-7902
Fax Number
818-861-7385
person
Provider Business Mailing Address Details
Address
500 E Olive Ave Ste 103
City
Burbank
State
California
Zip
91501-2171
Phone Number
818-861-7902
Fax Number
818-861-7385
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
(California)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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