MEDICARE: DR. LENA NA BADALYAN PHARM D

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
1	183500000X	Pharmacist	59936	CA

General Provider Information

NPI Number	:	1285388348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LENA NA BADALYAN PHARM D

Provider Business Mailing Address
First Line	:	12038 VENTURA BLVD
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2608
Country	:	US
Telephone Number	:	818-508-0800
Fax Number	:	818-508-0012

Provider Business Practice Location Address
First Line	:	12038 VENTURA BLVD
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2608
Country	:	US
Telephone Number	:	818-508-0800
Fax Number	:	818-508-0012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	02/08/2022

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