Provider Demographics
NPI:1093970873
Name:SEFYAN, KARMEN (RPH)
Entity Type:Individual
Prefix:DR
First Name:KARMEN
Middle Name:
Last Name:SEFYAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 COLORADO BLVD
Mailing Address - Street 2:SUITE #6
Mailing Address - City:EAGLE ROCK
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1170
Mailing Address - Country:US
Mailing Address - Phone:323-551-5906
Mailing Address - Fax:323-551-5908
Practice Address - Street 1:3600 N VERDUGO RD STE 103
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1258
Practice Address - Country:US
Practice Address - Phone:818-957-9200
Practice Address - Fax:818-957-9201
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53618183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist