Grigorian, Sirekan
Grigorian, Sirekan is an sole proprietor health care provider with primary practice located at 915 N Michillinda Ave , Pasadena CA 91107-1918. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is his primary health care specialty. Grigorian, Sirekan can be contacted via phone (626) 351-8943.Contact Information
Primary practice address
915 N Michillinda Ave
Pasadena CA 91107-1918
Phone: (626) 351-8943
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH48666 | California |
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY44710 | California |
Profile Details
NPI number | 1659435162 |
---|---|
LBN Legal business name | Grigorian, Sirekan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2006 |
Last updated | Feb 7th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659435162 | NPPES |
California | MEDICAID | PHA447100 |
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