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NPI Code Detail

MEDICARE: SHAHIN AGHABABASHIRAZI RPH

MEDICARE:   SHAHIN  AGHABABASHIRAZI  RPH
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
1183500000XPharmacist64369CA

General Provider Information

NPI Number : 1730450073
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHIN AGHABABASHIRAZI RPH
Provider Business Mailing Address
First Line : 8715 WILSHIRE BLVD
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2701
Country : US
Telephone Number : 310-435-9837
Fax Number : 310-659-4665
Provider Business Practice Location Address
First Line : 500 S BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2302
Country : US
Telephone Number : 213-623-5820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2012
Last Update Date : 01/18/2012

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