Provider Demographics
NPI:1508255597
Name:RASHTI, MEHRDAD MICHAEL (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MEHRDAD
Middle Name:MICHAEL
Last Name:RASHTI
Suffix:
Gender:M
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 1:8931 BEVERLYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2417
Mailing Address - Country:US
Mailing Address - Phone:310-770-2246
Mailing Address - Fax:
Practice Address - Street 1:8931 BEVERLYWOOD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-2417
Practice Address - Country:US
Practice Address - Phone:310-770-2246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58192183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist