Provider Demographics
NPI:1245486885
Name:ASATOORIAN, ADENA (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:ADENA
Middle Name:
Last Name:ASATOORIAN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17547 CHATSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5720
Mailing Address - Country:US
Mailing Address - Phone:818-360-5004
Mailing Address - Fax:818-360-5005
Practice Address - Street 1:17547 CHATSWORTH ST
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-5720
Practice Address - Country:US
Practice Address - Phone:818-360-5004
Practice Address - Fax:818-360-5005
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist