MEDICARE: DINO AGHAIANS PHARM D

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	82306	CA

General Provider Information

NPI Number	:	1104428879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DINO AGHAIANS PHARM D

Provider Business Mailing Address
First Line	:	10835 VANOWEN ST UNIT 106
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-6412
Country	:	US
Telephone Number	:	818-751-5959
Fax Number	:	818-751-5958

Provider Business Practice Location Address
First Line	:	7230 MEDICAL CENTER DR STE 106
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-4003
Country	:	US
Telephone Number	:	818-346-6550
Fax Number	:	818-348-4663

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

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	07/26/2023

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