Provider Demographics
NPI:1215205919
Name:GREGORIAN, TANIA HOUSPIAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:HOUSPIAN
Last Name:GREGORIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N ROBERTSON BLVD STE 601
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1793
Mailing Address - Country:US
Mailing Address - Phone:310-385-6039
Mailing Address - Fax:
Practice Address - Street 1:250 N ROBERTSON BLVD STE 601
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1793
Practice Address - Country:US
Practice Address - Phone:310-385-6039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 661121835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist