Provider Demographics
NPI:1720671985
Name:ARIAPANAH, PARHAM
Entity Type:Individual
Prefix:
First Name:PARHAM
Middle Name:
Last Name:ARIAPANAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6076 BRISTOL PARKWAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CULVER CUTY
Mailing Address - State:CA
Mailing Address - Zip Code:90230
Mailing Address - Country:US
Mailing Address - Phone:818-219-7780
Mailing Address - Fax:
Practice Address - Street 1:6076 BRISTOL PARKWAY
Practice Address - Street 2:SUITE 104
Practice Address - City:CULVER CUTY
Practice Address - State:CA
Practice Address - Zip Code:90230
Practice Address - Country:US
Practice Address - Phone:818-219-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH82327183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist