Provider Demographics
NPI:1821086166
Name:ALADADI, VAHAN (RPH)
Entity Type:Individual
Prefix:DR
First Name:VAHAN
Middle Name:
Last Name:ALADADI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3059 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1711
Mailing Address - Country:US
Mailing Address - Phone:818-434-3673
Mailing Address - Fax:818-548-1064
Practice Address - Street 1:3059 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1711
Practice Address - Country:US
Practice Address - Phone:818-434-3673
Practice Address - Fax:818-548-1064
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH41354OtherPHARMACIST LICENSE NUMBER