Provider Demographics
NPI:1003403197
Name:LEVIAN, ARASH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:LEVIAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ARI
Other - Middle Name:
Other - Last Name:LEVIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:300 S BEVERLY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4897
Mailing Address - Country:US
Mailing Address - Phone:310-553-0225
Mailing Address - Fax:310-553-8454
Practice Address - Street 1:300 S BEVERLY DR STE 100
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4897
Practice Address - Country:US
Practice Address - Phone:310-553-0225
Practice Address - Fax:310-553-8454
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-23
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist