Healthcare Provider Details

I. General information

NPI: 1235002106
Provider Name (Legal Business Name): HODA IRANINEZHAD WALKER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2025
Last Update Date: 09/26/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2461 SHATTUCK AVE
BERKELEY CA
94704
US

IV. Provider business mailing address

34 RANCH DR
NOVATO CA
94945-6807
US

V. Phone/Fax

Practice location:
  • Phone: 510-548-8777
  • Fax: 510-548-0305
Mailing address:
  • Phone: 949-842-2809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59652
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: