Provider Demographics
NPI:1548859705
Name:KARAKOUZIAN, LEEZA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LEEZA
Middle Name:
Last Name:KARAKOUZIAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13009 LULL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1925
Mailing Address - Country:US
Mailing Address - Phone:818-571-5665
Mailing Address - Fax:
Practice Address - Street 1:13009 LULL ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1925
Practice Address - Country:US
Practice Address - Phone:818-571-5665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist