Healthcare Provider Details

I. General information

NPI: 1225459381
Provider Name (Legal Business Name): YALDA DOROSTI AKASHEH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18081 BEACH BLVD FL 1
HUNTINGTON BEACH CA
92648-1304
US

IV. Provider business mailing address

22 MIKRO
LAGUNA NIGUEL CA
92677-8637
US

V. Phone/Fax

Practice location:
  • Phone: 714-841-7283
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number69683
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: