Provider Demographics
NPI:1396042214
Name:ABOULIAN, CLAUDIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:ABOULIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 E SANTA ANITA AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2935
Mailing Address - Country:US
Mailing Address - Phone:818-726-6683
Mailing Address - Fax:
Practice Address - Street 1:4520 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6057
Practice Address - Country:US
Practice Address - Phone:323-662-2121
Practice Address - Fax:323-662-1781
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist