Provider Demographics
NPI:1265021026
Name:ALETOMEH, YASMIN (PHARMD)
Entity Type:Individual
Prefix:
First Name:YASMIN
Middle Name:
Last Name:ALETOMEH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6074 WEEPING BANYAN LN
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7254
Mailing Address - Country:US
Mailing Address - Phone:818-297-2835
Mailing Address - Fax:
Practice Address - Street 1:22333 SHERMAN WAY
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1050
Practice Address - Country:US
Practice Address - Phone:818-713-8014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83538183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist