Provider Demographics
NPI:1326107145
Name:SOROOSHIAN, HORMOZAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HORMOZAN
Middle Name:
Last Name:SOROOSHIAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 TUSCANY CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506-6102
Mailing Address - Country:US
Mailing Address - Phone:925-295-7138
Mailing Address - Fax:925-295-6779
Practice Address - Street 1:1425 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5318
Practice Address - Country:US
Practice Address - Phone:925-295-7138
Practice Address - Fax:925-295-6779
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 394181835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology