MEDICARE: MS. CLAUDIA HEATHER MYLES 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	29027	CA

General Provider Information

NPI Number	:	1457862757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CLAUDIA HEATHER MYLES PHARM.D.

Provider Business Mailing Address
First Line	:	4335 ANGOSTURA PL
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-5325
Country	:	US
Telephone Number	:	818-613-9683
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 VINELAND AVE STE 101
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91602-2116
Country	:	US
Telephone Number	:	818-766-3996
Fax Number	:	818-766-0239

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

Provider Enumeration Date	:	10/13/2017
Last Update Date	:	10/13/2017

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