Provider Demographics
NPI:1629513809
Name:AKHAVAN, ARVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARVIN
Middle Name:
Last Name:AKHAVAN
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 1:150 N ALMONT DR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1803
Mailing Address - Country:US
Mailing Address - Phone:310-926-9919
Mailing Address - Fax:
Practice Address - Street 1:5601 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3701
Practice Address - Country:US
Practice Address - Phone:323-936-4954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75784183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist