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NPI Code Detail

MEDICARE: CELINE PEZESHGIAN

MEDICARE: CELINE PEZESHGIAN
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
1183500000XPharmacist91921CA

General Provider Information

NPI Number : 1356207187
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELINE PEZESHGIAN
Provider Business Mailing Address
First Line : 11041 MCVINE AVE
Second Line :
City : SUNLAND
State : CA
Zip : 91040-2134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2505 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2011
Country : US
Telephone Number : 310-828-6456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2025
Last Update Date : 02/11/2026

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Directions to “ CELINE PEZESHGIAN ” Practice Location

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