MEDICARE: NAVID VAHEDI PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH59537	CA

General Provider Information

NPI Number	:	1932443942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAVID VAHEDI PHARM.D.

Provider Business Mailing Address
First Line	:	2001 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6328
Country	:	US
Telephone Number	:	310-204-6676
Fax Number	:	310-204-6678

Provider Business Practice Location Address
First Line	:	2001 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-6328
Country	:	US
Telephone Number	:	310-204-6676
Fax Number	:	310-204-6678

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	11/15/2012

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