Healthcare Provider Details

I. General information

NPI: 1861124612
Provider Name (Legal Business Name): ELHAM ZAKERIASHTIANI RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 EADS AVE
LA JOLLA CA
92037-4806
US

IV. Provider business mailing address

7525 EADS AVE
LA JOLLA CA
92037-4806
US

V. Phone/Fax

Practice location:
  • Phone: 858-551-8698
  • Fax: 858-551-8198
Mailing address:
  • Phone: 858-551-8698
  • Fax: 858-551-8198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH86167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: