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NPI Code Detail

MEDICARE: DR. IRINA AVIDON PHARM.D.

MEDICARE: DR. IRINA AVIDON 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
11835P1200XPharmacotherapy Pharmacist54920CA

General Provider Information

NPI Number : 1174528814
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRINA AVIDON PHARM.D.
Provider Business Mailing Address
First Line : 8501 WILSHIRE BLVD STE 150
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3148
Country : US
Telephone Number : 310-385-3534
Fax Number : 310-385-3577
Provider Business Practice Location Address
First Line : 8501 WILSHIRE BLVD STE 150
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3148
Country : US
Telephone Number : 310-385-3534
Fax Number : 310-385-3577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 02/24/2026

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