Provider Demographics
NPI:1982838603
Name:DJAHANGIRI, NADER ASHLEY (PHARMD)
Entity Type:Individual
Prefix:
First Name:NADER
Middle Name:ASHLEY
Last Name:DJAHANGIRI
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 1:2660 PENINSULA RD APT 167
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-4016
Mailing Address - Country:US
Mailing Address - Phone:714-552-6610
Mailing Address - Fax:
Practice Address - Street 1:221 E HARVARD BLVD
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3315
Practice Address - Country:US
Practice Address - Phone:805-525-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-09
Last Update Date:2009-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist