Healthcare Provider Details

I. General information

NPI: 1205587011
Provider Name (Legal Business Name): GALINIE SOGOYAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12602 VENTURA BLVD
STUDIO CITY CA
91604-2414
US

IV. Provider business mailing address

9954 DEBRA AVE
NORTH HILLS CA
91343-1203
US

V. Phone/Fax

Practice location:
  • Phone: 818-762-2055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number85042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: