MEDICARE: PSZ INC

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	3336C0003X	Community/Retail Pharmacy		CA

General Provider Information

NPI Number	:	1306392477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSZ INC

Provider Business Mailing Address
First Line	:	1271 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4811
Country	:	US
Telephone Number	:	310-873-6565
Fax Number	:	310-873-6566

Provider Business Practice Location Address
First Line	:	1271 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4811
Country	:	US
Telephone Number	:	310-873-6565
Fax Number	:	310-873-6566

Authorized Official
Title or Position	:	PRESIDENT/PIC
Name	:	DR. PAYAM ZARGARI
Credential	:	PHARM D
Telephone Number	:	310-873-6565

Provider Enumeration Date	:	08/29/2016
Last Update Date	:	08/29/2016

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