Sima Martirosyan
Individual provider Active NPI Pharmacy Technician · La, CA
NPI 1871663880 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1871663880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 54863 (CA)
- Practice address
- 5137 1/2 Sunset Blvd
La, CA 90027 - Phone
- (323) 664-1882
- Fax
- (323) 664-1809
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 54863 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunset Center Pharmacy,Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 54863 | CA | Yes |
Addresses
Primary practice location
5137 1/2 Sunset Blvd
La, CA 90027
Mailing address
327 N Belmont
#1
Glendale, CA 91206
Phone (818) 545-1569
Other providers in La, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.