MEDICARE: SAMIRA KASRAVI 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	65068	CA

General Provider Information

NPI Number	:	1205389707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIRA KASRAVI PHARM.D.

Provider Business Mailing Address
First Line	:	5822 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3712
Country	:	US
Telephone Number	:	323-750-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	5822 S VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-3712
Country	:	US
Telephone Number	:	323-750-5222
Fax Number	:

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

Provider Enumeration Date	:	08/01/2016
Last Update Date	:	08/01/2016

Similar Medicare Providers

1174568075 — GARFIELD BEACH CVS LLC
Practice Location Address:

5822 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-5222
Practice Fax:

1851609176 — GREEN CROSS MED NET INC
Practice Location Address:

5832 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-7354
Practice Fax: 323-750-7446

1548678568 — ADA NWACHUKU FNP
Practice Location Address:

5832 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-7354
Practice Fax:

1376933416 — JESSICA DANOUSH
Practice Location Address:

5832 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-7354
Practice Fax:

1902278054 — KATHERINE COLLIER
Practice Location Address:

5822 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-5222
Practice Fax: 323-750-1245

1497258263 — NEXT DOOR MED NET INC.
Practice Location Address:

5832 S VERMONT AVE
LOS ANGELES, CA
90044-3712

Practice Phone: 323-750-7354
Practice Fax: 323-750-7446

Directions to “ SAMIRA KASRAVI PHARM.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.