Provider Demographics
NPI:1306562681
Name:KARAIAN, SARKIS SAM
Entity type:Individual
Prefix:
First Name:SARKIS
Middle Name:SAM
Last Name:KARAIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5112 HOLLYWOOD BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6124
Mailing Address - Country:US
Mailing Address - Phone:323-913-3337
Mailing Address - Fax:323-913-0318
Practice Address - Street 1:5112 HOLLYWOOD BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6124
Practice Address - Country:US
Practice Address - Phone:323-913-3337
Practice Address - Fax:323-913-0318
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist