Provider Demographics
NPI:1609391804
Name:NIAYESH, NEGIN ZAKERI (PHARMD)
Entity Type:Individual
Prefix:
First Name:NEGIN
Middle Name:ZAKERI
Last Name:NIAYESH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NEGIN
Other - Middle Name:ZAKERI
Other - Last Name:NIAYESH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16 TALL OAK
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-4214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16 TALL OAK
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92603-4214
Practice Address - Country:US
Practice Address - Phone:949-784-9424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA80137183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program