Provider Demographics
NPI:1548573280
Name:AROUCHANOVA, DIANA (PHARMD, APH)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:
Last Name:AROUCHANOVA
Suffix:
Gender:F
Credentials:PHARMD, APH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 RESEDA BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3137
Mailing Address - Country:US
Mailing Address - Phone:818-727-7234
Mailing Address - Fax:818-727-7709
Practice Address - Street 1:9245 RESEDA BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3137
Practice Address - Country:US
Practice Address - Phone:818-727-7234
Practice Address - Fax:818-727-7709
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPH102661835P0018X
CARPH55762183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAPH10266OtherCA BOARD OF PHARMACY
CARPH55762OtherCA BOARD OF PHARMACY