Healthcare Provider Details

I. General information

NPI: 1023620580
Provider Name (Legal Business Name): NINET GHARIBIANSAKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 WILSON TER
GLENDALE CA
91206-4007
US

IV. Provider business mailing address

7860 WENTWORTH ST
SUNLAND CA
91040-2202
US

V. Phone/Fax

Practice location:
  • Phone: 818-409-8183
  • Fax: 818-546-5623
Mailing address:
  • Phone: 818-649-4377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: