MEDICARE: DR. VIDA AFSHANI HAKIMFAR 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	32821	CA

General Provider Information

NPI Number	:	1588908602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIDA AFSHANI HAKIMFAR PHARM D

Provider Business Mailing Address
First Line	:	518 N BEVERLY DR
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-3318
Country	:	US
Telephone Number	:	310-927-2724
Fax Number	:	310-274-6876

Provider Business Practice Location Address
First Line	:	8950 W OLYMPIC BLVD STE 106
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3575
Country	:	US
Telephone Number	:	310-274-8080
Fax Number	:	310-274-6876

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

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	06/11/2014

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