MEDICARE: ANTRANIG KAPRIELIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	78254	CA

General Provider Information

NPI Number	:	1881161974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTRANIG KAPRIELIAN

Provider Business Mailing Address
First Line	:	2445 E DEL MAR BLVD APT 402
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-6110
Country	:	US
Telephone Number	:	626-497-5767
Fax Number	:

Provider Business Practice Location Address
First Line	:	2445 E DEL MAR BLVD APT 402
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-6110
Country	:	US
Telephone Number	:	626-497-5767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2018
Last Update Date	:	10/27/2018

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Directions to “ ANTRANIG KAPRIELIAN ” Practice Location

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