Provider Demographics
NPI:1629869771
Name:SADEGHI, HALLIYE (PHARMACIST)
Entity type:Individual
Prefix:
First Name:HALLIYE
Middle Name:
Last Name:SADEGHI
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6301 DE SOTO AVE UNIT 325
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2752
Mailing Address - Country:US
Mailing Address - Phone:818-859-2044
Mailing Address - Fax:
Practice Address - Street 1:6301 DE SOTO AVE UNIT 325
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2752
Practice Address - Country:US
Practice Address - Phone:818-859-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV23697183500000X
FLPS66476183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist