Healthcare Provider Details

I. General information

NPI: 1174931455
Provider Name (Legal Business Name): SOHEIL ZAFARMEHR PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 08/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7218 VAN NUYS BLVD STE B
VAN NUYS CA
91405-6803
US

IV. Provider business mailing address

5130 YARMOUTH AVE APT 46
ENCINO CA
91316-3353
US

V. Phone/Fax

Practice location:
  • Phone: 818-785-6049
  • Fax:
Mailing address:
  • Phone: 818-388-6245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number68437
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: