Healthcare Provider Details

I. General information

NPI: 1275495236
Provider Name (Legal Business Name): LUIZA HEKIMYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N HOLLYWOOD WAY
BURBANK CA
91505-3406
US

IV. Provider business mailing address

8101 RHODES AVE
NORTH HOLLYWOOD CA
91605-1340
US

V. Phone/Fax

Practice location:
  • Phone: 818-841-0710
  • Fax:
Mailing address:
  • Phone: 818-601-9586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: