Healthcare Provider Details

I. General information

NPI: 1336479443
Provider Name (Legal Business Name): IMAN ESKANDARI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 WOODSIDE PLZ
REDWOOD CITY CA
94061-3259
US

IV. Provider business mailing address

665 ROBLE AVE APT M
MENLO PARK CA
94025-4821
US

V. Phone/Fax

Practice location:
  • Phone: 650-368-7008
  • Fax: 650-366-4211
Mailing address:
  • Phone: 310-435-2831
  • Fax: 650-366-4211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number60390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: