Healthcare Provider Details

I. General information

NPI: 1992986012
Provider Name (Legal Business Name): ARMINEH ABEDIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 N CENTRAL AVE RILEYS PHARMACY #100
GLENDALE CA
91203
US

IV. Provider business mailing address

226 E ELMWOOD AVE #F
BURBANK CA
91502
US

V. Phone/Fax

Practice location:
  • Phone: 818-242-8818
  • Fax:
Mailing address:
  • Phone: 818-563-1249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: