Healthcare Provider Details

I. General information

NPI: 1013684257
Provider Name (Legal Business Name): EMMA ASATRYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 WILSHIRE BLVD STE 150
BEVERLY HILLS CA
90211-3148
US

IV. Provider business mailing address

1919 JACKSON ST # 101
BURBANK CA
91504-3537
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-3534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: