Healthcare Provider Details

I. General information

NPI: 1104428879
Provider Name (Legal Business Name): DINO AGHAIANS PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10835 VANOWEN ST STE 6
NORTH HOLLYWOOD CA
91605-6400
US

IV. Provider business mailing address

10835 VANOWEN ST STE 6
NORTH HOLLYWOOD CA
91605-6400
US

V. Phone/Fax

Practice location:
  • Phone: 818-751-5959
  • Fax: 818-751-5958
Mailing address:
  • Phone: 818-751-5959
  • Fax: 818-751-5958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number82306
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: