Provider Demographics
NPI:1508153305
Name:ZADOORI, MINEH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MINEH
Middle Name:
Last Name:ZADOORI
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 1:13652 CANTARA STREET
Mailing Address - Street 2:MEDICAL OFFICES BLDG 4 - PHARMACY CLINICAL OPERATIONS
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:818-815-6039
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA STREET
Practice Address - Street 2:MEDICAL OFFICES BLDG 4 - PHARMACY CLINICAL OPERATIONS
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-815-6039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist