Bahadourian, Diran B.

Bahadourian, Diran B. is an sole proprietor health care provider with primary practice located at 1864 E Washington Blvd 105, Pasadena CA 91104-1666. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bahadourian, Diran B. can be contacted via phone (626) 398-1696.

Contact Information

Primary practice address
1864 E Washington Blvd 105 Pasadena CA 91104-1666
Fax: (626) 398-9860
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH35870 California

Profile Details

NPI number 1497933790
LBN Legal business name Bahadourian, Diran B.
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2008
Last updated Jun 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497933790 NPPES
California MEDICAID PHA343070

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