Healthcare Provider Details

I. General information

NPI: 1457220303
Provider Name (Legal Business Name): ADONIA ESKANDARI PHARMD, BCCCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ADONIA ESKANDARI DIZAJ TEKIEH

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 16TH ST STE 2260
SANTA MONICA CA
90404-1249
US

IV. Provider business mailing address

1250 16TH ST STE 2260
SANTA MONICA CA
90404-1249
US

V. Phone/Fax

Practice location:
  • Phone: 424-259-9080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number78796
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: