Provider Demographics
NPI:1417469081
Name:HAGOPIAN, ARTHUR KARO
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:KARO
Last Name:HAGOPIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3339 CLIFDEN LN
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1652
Mailing Address - Country:US
Mailing Address - Phone:818-624-5010
Mailing Address - Fax:
Practice Address - Street 1:1101 N PACIFIC AVE STE 101
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-4310
Practice Address - Country:US
Practice Address - Phone:818-548-1330
Practice Address - Fax:818-548-3590
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-03
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist