Healthcare Provider Details

I. General information

NPI: 1487943627
Provider Name (Legal Business Name): KAREN HOVAGIMYAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8747 GLENOAKS BLVD
SUN VALLEY CA
91352-2802
US

IV. Provider business mailing address

8747 GLENOAKS BLVD
SUN VALLEY CA
91352-2802
US

V. Phone/Fax

Practice location:
  • Phone: 818-394-9645
  • Fax: 818-394-9621
Mailing address:
  • Phone: 818-394-9645
  • Fax: 818-394-9621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number63070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: