MEDICARE: NOUBARS EL ADOBE PHARMACY INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	51221	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2138892	OTHER		PK

General Provider Information

NPI Number	:	1902990278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOUBARS EL ADOBE PHARMACY INC

Provider Business Mailing Address
First Line	:	2010 WILSHIRE BLVD
Second Line	:	SUITE 2010F
City	:	LOS ANGELES
State	:	CA
Zip	:	90057
Country	:	US
Telephone Number	:	213-413-3999
Fax Number	:	213-413-8628

Provider Business Practice Location Address
First Line	:	2010 WILSHIRE BLVD
Second Line	:	STE 2010F
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-3507
Country	:	US
Telephone Number	:	213-413-3999
Fax Number	:	213-413-8628

Authorized Official
Title or Position	:	TREASURER
Name	:	VARTAN GEVORKIAN
Credential	:
Telephone Number	:	323-461-9454

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/19/2025

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Directions to “NOUBARS EL ADOBE PHARMACY INC ” Practice Location

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