Provider Demographics
NPI:1144590472
Name:SHAMOILZADEH, RONIT (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:RONIT
Middle Name:
Last Name:SHAMOILZADEH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10407 SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5009
Mailing Address - Country:US
Mailing Address - Phone:310-295-8847
Mailing Address - Fax:
Practice Address - Street 1:10407 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5009
Practice Address - Country:US
Practice Address - Phone:310-481-7123
Practice Address - Fax:310-481-7167
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist