Provider Demographics
NPI:1497541288
Name:ABESHYAN, HEGINE HELEN (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:HEGINE
Middle Name:HELEN
Last Name:ABESHYAN
Suffix:
Gender:X
Credentials:PHARMACY TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 SUNLAND PARK DR APT 30
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-1607
Mailing Address - Country:US
Mailing Address - Phone:818-599-3115
Mailing Address - Fax:
Practice Address - Street 1:18311 SANTANA AVE
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-8035
Practice Address - Country:US
Practice Address - Phone:818-599-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198602994310400000X
CA198603666310400000X
CA198602995310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility