Individual provider Active NPI

Harutyun Gyuznalyan

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1619574522
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83170 Issued in CA
Practice address
8900 Sepulveda Westway
Los Angeles, CA 90045-3619
Phone
(310) 258-0265
NPI assigned
Oct 4, 2020
Last updated
Oct 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83170 CA Primary

Addresses

Primary practice location

8900 Sepulveda Westway
Los Angeles, CA 90045-3619

Mailing address

1318 N Alexandria Ave
Los Angeles, CA 90027-5802
Phone (323) 333-7781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
83170CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1619574522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 N ALEXANDRIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275802",
            "telephone_number": "323-333-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SEPULVEDA WESTWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453619",
            "telephone_number": "310-258-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYUZNALYAN",
        "first_name": "HARUTYUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.