Provider Demographics
NPI:1740931906
Name:AMINI, SAHAR (PHARMD)
Entity type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:AMINI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 N FIGUEROA ST APT 3087
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-3385
Mailing Address - Country:US
Mailing Address - Phone:214-299-0631
Mailing Address - Fax:
Practice Address - Street 1:550 N FIGUEROA ST APT 3087
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-3385
Practice Address - Country:US
Practice Address - Phone:214-299-0631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist