Individual
PROF. ASTINE PETROSYAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHAMD
Contact information
Practice address
6700 TOPANGA CANYON BLVD, T2143, CANOGA PARK, CA 91303-2624
(818) 383-6166
Mailing address
6700 TOPANGA CANYON BLVD, T2143, CANOGA PARK, CA 91303-2624
(818) 383-6166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
59232
CA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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