Provider Demographics
NPI:1275907255
Name:RAOUF, ARASH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:RAOUF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ARASH
Other - Middle Name:
Other - Last Name:RAOUF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1007 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4205
Mailing Address - Country:US
Mailing Address - Phone:310-395-1842
Mailing Address - Fax:
Practice Address - Street 1:7900 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-3304
Practice Address - Country:US
Practice Address - Phone:323-876-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist