Provider Demographics
NPI:1700886520
Name:ILANJIAN, HILDA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HILDA
Middle Name:
Last Name:ILANJIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N KINGS RD
Mailing Address - Street 2:CONDO #126
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4352
Mailing Address - Country:US
Mailing Address - Phone:213-361-7038
Mailing Address - Fax:310-423-0426
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:ROOM A845
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-2132
Practice Address - Fax:310-423-0426
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531601835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy