Healthcare Provider Details

I. General information

NPI: 1225358153
Provider Name (Legal Business Name): CAROLIN SAGHIAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2010
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 GLENDON AVE
LOS ANGELES CA
90024-2907
US

IV. Provider business mailing address

1001 GLENDON AVE
LOS ANGELES CA
90024-2907
US

V. Phone/Fax

Practice location:
  • Phone: 310-209-0708
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number62019
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: