Provider Demographics
NPI:1851900245
Name:KAYVON, SAINA EMRANI (RPH)
Entity Type:Individual
Prefix:DR
First Name:SAINA
Middle Name:EMRANI
Last Name:KAYVON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LAVENDER
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1467
Mailing Address - Country:US
Mailing Address - Phone:949-744-9211
Mailing Address - Fax:
Practice Address - Street 1:24271 MUIRLANDS BLVD
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-3001
Practice Address - Country:US
Practice Address - Phone:949-472-6016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist