Healthcare Provider Details

I. General information

NPI: 1790542850
Provider Name (Legal Business Name): EZLINKMEDS PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18455 BURBANK BLVD STE 204
TARZANA CA
91356-6629
US

IV. Provider business mailing address

18455 BURBANK BLVD STE 204
TARZANA CA
91356-6629
US

V. Phone/Fax

Practice location:
  • Phone: 424-440-4919
  • Fax:
Mailing address:
  • Phone: 424-440-4919
  • Fax: 844-440-2179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MINA SHAHPASANDZADEH
Title or Position: PRESIDENT/CEO
Credential: PHARMD
Phone: 424-440-4919