MEDICARE: SANAM DALIR HAGHIGHI

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	91860	CA

General Provider Information

NPI Number	:	1649134503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANAM DALIR HAGHIGHI

Provider Business Mailing Address
First Line	:	5460 WHITE OAK AVE UNIT J308
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4598
Country	:	US
Telephone Number	:	818-213-5701
Fax Number	:

Provider Business Practice Location Address
First Line	:	5460 WHITE OAK AVE UNIT J308
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91316-4598
Country	:	US
Telephone Number	:	818-213-5701
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ SANAM DALIR HAGHIGHI ” Practice Location

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