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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659435162 NPPES
California MEDICAID PHA447100

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