MEDICARE: HAROUTYUN H ALTUNYAN

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	183700000X	Pharmacy Technician	TCH127243	CA

General Provider Information

NPI Number	:	1427982628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROUTYUN H ALTUNYAN

Provider Business Mailing Address
First Line	:	3507 LARGA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1925
Country	:	US
Telephone Number	:	818-806-5017
Fax Number	:

Provider Business Practice Location Address
First Line	:	3507 LARGA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1925
Country	:	US
Telephone Number	:	818-806-5017
Fax Number	:

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

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ HAROUTYUN H ALTUNYAN ” Practice Location

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