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NPI Code Detail

MEDICARE: ANGEL KOUZIAN

MEDICARE: ANGEL KOUZIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist65632CA

General Provider Information

NPI Number : 1093188757
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL KOUZIAN
Provider Business Mailing Address
First Line : 12100 VENTURA BLVD
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2514
Country : US
Telephone Number : 818-763-5562
Fax Number : 818-763-5767
Provider Business Practice Location Address
First Line : 12100 VENTURA BLVD
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-2514
Country : US
Telephone Number : 818-763-5562
Fax Number : 818-763-5767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 11/03/2015

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