MEDICARE: AHMAD SADRI

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	83522	CA

General Provider Information

NPI Number	:	1811693724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMAD SADRI

Provider Business Mailing Address
First Line	:	2201 W TEMPLE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4917
Country	:	US
Telephone Number	:	213-413-2343
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 W TEMPLE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4917
Country	:	US
Telephone Number	:	213-413-2343
Fax Number	:

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

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	02/02/2023

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Directions to “ AHMAD SADRI ” Practice Location

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