Organization
KRIKOR K SILAHIAN
Active
Other names
Saddleback Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE SILAHIAN PHARM.D. (PHARMACIST)
(949) 581-9840
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA, #17B, LAGUNA HILLS, CA 92653-4342
(949) 581-9840
(949) 770-7545
Mailing address
24953 PASEO DE VALENCIA, #17B, LAGUNA HILLS, CA 92653-4342
(949) 581-9840
(949) 770-7545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY21045
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY21045
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA194750
—
CA
Enumeration date
01/11/2007
Last updated
06/25/2008
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