Provider Demographics
NPI:1891449880
Name:ATMAJIAN, RUPENA (PHARMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RUPENA
Middle Name:
Last Name:ATMAJIAN
Suffix:
Gender:F
Credentials:PHARMD, MPH
Other - Prefix:DR
Other - First Name:RUBY
Other - Middle Name:
Other - Last Name:ATMAJIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD, MPH
Mailing Address - Street 1:1317 VALLEY VIEW RD APT 3
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-1786
Mailing Address - Country:US
Mailing Address - Phone:818-254-6545
Mailing Address - Fax:
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA703311835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist