Provider Demographics
NPI:1083940506
Name:AMIRIAN, LEAH M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:M
Last Name:AMIRIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:MOVSESSIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:PO BOX 10291
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91209-3291
Mailing Address - Country:US
Mailing Address - Phone:818-281-9662
Mailing Address - Fax:818-241-1898
Practice Address - Street 1:1808 VERDUGO BLVD STE 111
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1449
Practice Address - Country:US
Practice Address - Phone:818-952-2223
Practice Address - Fax:818-952-4760
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 614691835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist