Provider Demographics
NPI:1407517592
Name:LADANI, HIRENKUMAR VALLABHDAS (PHARMD)
Entity Type:Individual
Prefix:
First Name:HIRENKUMAR
Middle Name:VALLABHDAS
Last Name:LADANI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E MONTEREY AVE # B401
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5477
Mailing Address - Country:US
Mailing Address - Phone:704-492-5450
Mailing Address - Fax:
Practice Address - Street 1:5837 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-1127
Practice Address - Country:US
Practice Address - Phone:323-233-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist