Armen Ayvazyan
Individual provider Active NPI Pharmacist · Arleta, CA
NPI 1467115105 · NPPES record last updated Oct 20, 2021
Key facts
- NPI
- 1467115105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 85395 (CA)
- Practice address
- 9725 Laurel Canyon Blvd
Arleta, CA 91331-4100 - Phone
- (818) 492-0025
- NPI assigned
- Oct 20, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85395 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85395 | CA | Yes |
Addresses
Primary practice location
9725 Laurel Canyon Blvd
Arleta, CA 91331-4100
Mailing address
630 E Garfield Ave Apt 14
Glendale, CA 91205-2970
Other providers in Arleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.