Provider Demographics
NPI:1609256718
Name:AMINI, NANAZ F (PHARMD)
Entity Type:Individual
Prefix:
First Name:NANAZ
Middle Name:F
Last Name:AMINI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5312 LINDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2902
Mailing Address - Country:US
Mailing Address - Phone:818-422-9818
Mailing Address - Fax:
Practice Address - Street 1:11818 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-6647
Practice Address - Country:US
Practice Address - Phone:310-231-2180
Practice Address - Fax:310-496-0679
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA649261835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology