Provider Demographics
NPI:1922479682
Name:SABZEROU, DANIEL ABRAHAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ABRAHAM
Last Name:SABZEROU
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 1:2107 S SAN PEDRO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-1125
Mailing Address - Country:US
Mailing Address - Phone:213-441-7771
Mailing Address - Fax:213-441-7771
Practice Address - Street 1:2107 S SAN PEDRO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-1125
Practice Address - Country:US
Practice Address - Phone:213-441-7771
Practice Address - Fax:213-441-7772
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA73461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist