Provider Demographics
NPI:1639498876
Name:GUERBIDJIAN, VAHE (PHARM,D)
Entity Type:Individual
Prefix:MR
First Name:VAHE
Middle Name:
Last Name:GUERBIDJIAN
Suffix:
Gender:M
Credentials:PHARM,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 HAZELTINE AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5744
Mailing Address - Country:US
Mailing Address - Phone:818-974-9553
Mailing Address - Fax:
Practice Address - Street 1:935 N HOLLYWOOD WAY
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2816
Practice Address - Country:US
Practice Address - Phone:818-841-5336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21391390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program