Healthcare Provider Details

I. General information

NPI: 1184540197
Provider Name (Legal Business Name): HANA MOHSENI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N LAKE AVE
PASADENA CA
91104-4517
US

IV. Provider business mailing address

2025 FOX RIDGE DR
PASADENA CA
91107-1009
US

V. Phone/Fax

Practice location:
  • Phone: 626-794-4714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberINT51834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: