Healthcare Provider Details

I. General information

NPI: 1730090903
Provider Name (Legal Business Name): MEHRNAZ RAZAVI VAKHSHOORI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22277 MULHOLLAND HWY
CALABASAS CA
91302-5156
US

IV. Provider business mailing address

5312 ORRVILLE AVE
WOODLAND HILLS CA
91367-5753
US

V. Phone/Fax

Practice location:
  • Phone: 818-223-8656
  • Fax:
Mailing address:
  • Phone: 818-223-8656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93179
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: