Healthcare Provider Details

I. General information

NPI: 1972939197
Provider Name (Legal Business Name): HOVIK SAM MEKHJIAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N ROBERTSON BLVD STE 601
BEVERLY HILLS CA
90211-1793
US

IV. Provider business mailing address

3235 DEL VINA ST
PASADENA CA
91107-2910
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-3534
  • Fax:
Mailing address:
  • Phone: 626-383-8060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number69688
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: