Provider Demographics
NPI:1104515840
Name:LUVIAN, ILIANA (PHARMACY TECHNICIAN)
Entity type:Individual
Prefix:
First Name:ILIANA
Middle Name:
Last Name:LUVIAN
Suffix:
Gender:F
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 1:334 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1807
Mailing Address - Country:US
Mailing Address - Phone:213-381-5257
Mailing Address - Fax:213-381-1855
Practice Address - Street 1:334 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-1807
Practice Address - Country:US
Practice Address - Phone:213-381-5257
Practice Address - Fax:213-381-1855
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39531183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician