Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prof. Astine Petrosyan IV, PHAMD

Individual provider Pharmacist · NPI 1104113166

Prof. Astine Petrosyan IV, PHAMD is a Pharmacist in Canoga Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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Practice location Address checks out

6700 Topanga Canyon Blvd T2143
Canoga Park, CA 91303-2624
Phone: (818) 383-6166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 59232 (CA)

Record details

NPI number1104113166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHAMD
Sole proprietorYes
NPI enumeratedJune 28, 2011
Last updated in NPPESJune 28, 2011

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