Healthcare Provider Details

I. General information

NPI: 1427952696
Provider Name (Legal Business Name): ADAM AICHA AICHA HANNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8491 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4218
US

IV. Provider business mailing address

528 N BENTON WAY APT 213
LOS ANGELES CA
90026-3880
US

V. Phone/Fax

Practice location:
  • Phone: 213-290-7123
  • Fax:
Mailing address:
  • Phone: 213-290-7123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: