MEDICARE: EILNAZ ARASHAZARI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	84607	CA

General Provider Information

NPI Number	:	1033867353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILNAZ ARASHAZARI

Provider Business Mailing Address
First Line	:	1064 VISTA POINTE CIR
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94582-9100
Country	:	US
Telephone Number	:	323-286-2762
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 PORTOLA AVE
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94551-1762
Country	:	US
Telephone Number	:	925-456-7697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	03/15/2022

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Directions to “ EILNAZ ARASHAZARI ” Practice Location

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