Provider Demographics
NPI:1396045019
Name:DJABOURIAN, TALIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TALIN
Middle Name:
Last Name:DJABOURIAN
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 1:24160 LYONS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2442
Mailing Address - Country:US
Mailing Address - Phone:661-259-9695
Mailing Address - Fax:661-259-7350
Practice Address - Street 1:24160 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2442
Practice Address - Country:US
Practice Address - Phone:661-259-9695
Practice Address - Fax:661-259-7350
Is Sole Proprietor?:No
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59646183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist