Healthcare Provider Details

I. General information

NPI: 1447164934
Provider Name (Legal Business Name): HAYK TUMOYAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 S JUANITA AVE UNIT B
REDONDO BEACH CA
90277-3436
US

IV. Provider business mailing address

109 S JUANITA AVE UNIT B
REDONDO BEACH CA
90277-3436
US

V. Phone/Fax

Practice location:
  • Phone: 310-343-1125
  • Fax:
Mailing address:
  • Phone: 310-343-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: