Provider Demographics
NPI:1942623970
Name:ZARGARI, PAYAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:PAYAM
Middle Name:
Last Name:ZARGARI
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 1:1271 WESTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4811
Mailing Address - Country:US
Mailing Address - Phone:310-873-6565
Mailing Address - Fax:
Practice Address - Street 1:1271 WESTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4811
Practice Address - Country:US
Practice Address - Phone:310-873-6565
Practice Address - Fax:310-873-6566
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist