Healthcare Provider Details

I. General information

NPI: 1235297383
Provider Name (Legal Business Name): HOURY BARSOUMIAN ABAJIAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 DE SOTO AVE
WOODLAND HILLS CA
91367-6701
US

IV. Provider business mailing address

2705 ELLISON DR
BEVERLY HILLS CA
90210-1207
US

V. Phone/Fax

Practice location:
  • Phone: 818-719-4050
  • Fax: 818-719-3507
Mailing address:
  • Phone: 310-404-1021
  • Fax: 818-719-3507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH42832
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: