Healthcare Provider Details

I. General information

NPI: 1851935159
Provider Name (Legal Business Name): HAIK HARRY GEDJEYAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2019
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19520 NORDHOFF ST STE 2
NORTHRIDGE CA
91324-2454
US

IV. Provider business mailing address

9009 WOODLEY AVE
NORTH HILLS CA
91343-4134
US

V. Phone/Fax

Practice location:
  • Phone: 818-818-6469
  • Fax:
Mailing address:
  • Phone: 818-300-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number76616
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number76616
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: