Healthcare Provider Details

I. General information

NPI: 1336848951
Provider Name (Legal Business Name): DIANA ABARYAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18444 PLUMMER ST
NORTHRIDGE CA
91325-2112
US

IV. Provider business mailing address

1845 N VAN NESS AVE APT 5
LOS ANGELES CA
90028-5600
US

V. Phone/Fax

Practice location:
  • Phone: 818-349-6267
  • Fax:
Mailing address:
  • Phone: 323-437-1256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number87676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: