Vicken Gulvartian

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY31041 Issued in CA

Legal business name

VICKEN GULVARTIAN

Practice address

7095 Hollywood Blvd
Los Angeles, CA 90028-8903

Phone

(323) 851-6800

Fax

(323) 851-6801

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Vicken Gulvartian

Title

Owner

Phone

(323) 851-6800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• IDEAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1689710295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7095 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288903",
            "telephone_number": "323-851-6800",
            "fax_number": "323-851-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900288903",
            "telephone_number": "323-851-6800",
            "fax_number": "323-851-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKEN GULVARTIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "GULVARTIAN",
        "authorized_official_first_name": "VICKEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-851-6800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY31041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA310410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0582230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IDEAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adriana Vicente
• Cinthia Vicente
• Jose Ramon Cuevas Vicente
• Reuben Vicente
• Jonathan Vickburg, LMFT
• Vikki Vickers
• Barbara G Vickrey, MD
• Ruth Cassandra Victor - Jackson
• Victor de Los Santos, DDS
• Victor G. Carabello, MD Inc

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.