Healthcare Provider Details

I. General information

NPI: 1750890612
Provider Name (Legal Business Name): AZADEH ATTARAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2017
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24975 PICO CANYON RD
STEVENSON RANCH CA
91381-1708
US

IV. Provider business mailing address

6662 FRANRIVERS AVE
WEST HILLS CA
91307-2815
US

V. Phone/Fax

Practice location:
  • Phone: 661-253-0320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number1750890612
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: