Healthcare Provider Details

I. General information

NPI: 1306939889
Provider Name (Legal Business Name): SORIN KAZANGIAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2716 GRIFFITH PARK BLVD
LOS ANGELES CA
90027
US

IV. Provider business mailing address

2716 GRIFFITH PARK BLVD
LOS ANGELES CA
90027
US

V. Phone/Fax

Practice location:
  • Phone: 323-661-8366
  • Fax: 323-661-0538
Mailing address:
  • Phone: 323-661-8366
  • Fax: 323-661-0538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY381860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: