Provider Demographics
NPI:1285388348
Name:BADALYAN, LENA NA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LENA
Middle Name:NA
Last Name:BADALYAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12038 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2608
Mailing Address - Country:US
Mailing Address - Phone:818-508-0800
Mailing Address - Fax:818-508-0012
Practice Address - Street 1:12038 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2608
Practice Address - Country:US
Practice Address - Phone:818-508-0800
Practice Address - Fax:818-508-0012
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59936183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist