Healthcare Provider Details

I. General information

NPI: 1760066575
Provider Name (Legal Business Name): HOVIG-ARAM DER HAROUTOUNIAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 05/07/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 VENTURA BLVD
STUDIO CITY CA
91604-2514
US

IV. Provider business mailing address

14267 SEQUOIA RD
SANTA CLARITA CA
91387-6225
US

V. Phone/Fax

Practice location:
  • Phone: 818-763-5562
  • Fax:
Mailing address:
  • Phone: 818-317-3468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number81932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: