Healthcare Provider Details

I. General information

NPI: 1407612385
Provider Name (Legal Business Name): EMELIN S KHACHIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VENTURA BLVD
SHERMAN OAKS CA
91403-3216
US

IV. Provider business mailing address

VENTURA BLVD
SHERMAN OAKS CA
91403-3216
US

V. Phone/Fax

Practice location:
  • Phone: 818-793-0770
  • Fax:
Mailing address:
  • Phone: 818-793-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number89065
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: