Healthcare Provider Details

I. General information

NPI: 1932443942
Provider Name (Legal Business Name): NAVID VAHEDI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WESTWOOD BLVD
LOS ANGELES CA
90025-6328
US

IV. Provider business mailing address

2001 WESTWOOD BLVD
LOS ANGELES CA
90025-6328
US

V. Phone/Fax

Practice location:
  • Phone: 310-204-6676
  • Fax: 310-204-6678
Mailing address:
  • Phone: 310-204-6676
  • Fax: 310-204-6678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH59537
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: