Healthcare Provider Details

I. General information

NPI: 1134688914
Provider Name (Legal Business Name): HASMIK HAKOPIAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6411 SEPULVEDA BLVD STE 2A
VAN NUYS CA
91411-1304
US

IV. Provider business mailing address

6411 SEPULVEDA BLVD STE 2A
VAN NUYS CA
91411-1304
US

V. Phone/Fax

Practice location:
  • Phone: 818-616-3565
  • Fax: 818-616-3755
Mailing address:
  • Phone: 818-616-3565
  • Fax: 818-616-3755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number69462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: