Individual
AZARIA SHAHBAZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17266 SATICOY ST, VAN NUYS, CA 91406-2103
(818) 345-1543
Mailing address
17266 SATICOY ST, VAN NUYS, CA 91406-2103
(818) 345-1543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
73458
CA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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