Provider Demographics
NPI:1275818890
Name:BAIRAMIAN, NAZELI ALICE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NAZELI
Middle Name:ALICE
Last Name:BAIRAMIAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:NAZELI
Other - Middle Name:ALICE
Other - Last Name:PARONIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:127 SOUTH SAN VICENTE BOULEVARD
Mailing Address - Street 2:SUITE A2403
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3006
Mailing Address - Country:US
Mailing Address - Phone:818-523-9093
Mailing Address - Fax:
Practice Address - Street 1:127 S SAN VICENTE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3311
Practice Address - Country:US
Practice Address - Phone:310-423-3277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2017-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00065909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist