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NPI Code Detail

MEDICARE: DR. ASHKAN JAVAHERIAN PHARM D.

MEDICARE: DR. ASHKAN JAVAHERIAN 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
1183500000XPharmacist55834CA

General Provider Information

NPI Number : 1306152384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHKAN JAVAHERIAN PHARM D.
Provider Business Mailing Address
First Line : 10349 SEPULVEDA BLVD
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345
Country : US
Telephone Number : 818-693-9961
Fax Number : 818-892-3323
Provider Business Practice Location Address
First Line : 10349 SEPULVEDA BLVD
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345-2421
Country : US
Telephone Number : 818-693-9961
Fax Number : 818-892-3323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2010
Last Update Date : 08/27/2010

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