MEDICARE: DR. MAHSHID PAYA KHALIFIAN PHARMD

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	44675	CA

General Provider Information

NPI Number	:	1538807847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHSHID PAYA KHALIFIAN PHARMD

Provider Business Mailing Address
First Line	:	10362 SUMMER HOLLY CIR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-2116
Country	:	US
Telephone Number	:	310-600-5411
Fax Number	:

Provider Business Practice Location Address
First Line	:	7360 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-6619
Country	:	US
Telephone Number	:	310-360-9969
Fax Number	:	310-360-9959

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

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	05/25/2022

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