Provider Demographics
NPI:1205101144
Name:ARZANI, SHAHRZAD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHAHRZAD
Middle Name:
Last Name:ARZANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:SHAHRZAD
Other - Middle Name:
Other - Last Name:LAME'-ARZANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM-D
Mailing Address - Street 1:2285 HIGHLAND VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-1534
Mailing Address - Country:US
Mailing Address - Phone:626-755-8717
Mailing Address - Fax:
Practice Address - Street 1:2285 HIGHLAND VISTA DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-1534
Practice Address - Country:US
Practice Address - Phone:626-755-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-10
Last Update Date:2012-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1699885293Medicare NSC