Provider Demographics
NPI:1972954253
Name:ARONSON, YAN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:YAN
Middle Name:
Last Name:ARONSON
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 1:4742 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2412
Mailing Address - Country:US
Mailing Address - Phone:818-398-8818
Mailing Address - Fax:
Practice Address - Street 1:7655 DE LONGPRE AVE APT 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-4022
Practice Address - Country:US
Practice Address - Phone:818-398-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist