Provider Demographics
NPI:1265752307
Name:FARAHBAKHSH, ZOHREH T (RPH, PHD)
Entity type:Individual
Prefix:
First Name:ZOHREH
Middle Name:T
Last Name:FARAHBAKHSH
Suffix:
Gender:F
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3364
Mailing Address - Country:US
Mailing Address - Phone:818-222-0549
Mailing Address - Fax:818-222-0665
Practice Address - Street 1:4710 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3364
Practice Address - Country:US
Practice Address - Phone:818-222-0549
Practice Address - Fax:818-222-0665
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50110183500000X
NV14502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist