Healthcare Provider Details

I. General information

NPI: 1972954253
Provider Name (Legal Business Name): YAN ARONSON PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 06/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7655 DE LONGPRE AVE APT 2
LOS ANGELES CA
90046-4022
US

IV. Provider business mailing address

4742 BURNET AVE
SHERMAN OAKS CA
91403-2412
US

V. Phone/Fax

Practice location:
  • Phone: 818-398-8818
  • Fax:
Mailing address:
  • Phone: 818-398-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70601
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: