Provider Demographics
NPI:1780076844
Name:SLOTKIN, AARON (PHARMD, CCN)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:SLOTKIN
Suffix:
Gender:M
Credentials:PHARMD, CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 S OAKHURST DR APT 4
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4730
Mailing Address - Country:US
Mailing Address - Phone:909-557-7950
Mailing Address - Fax:
Practice Address - Street 1:6360 WILSHIRE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5606
Practice Address - Country:US
Practice Address - Phone:323-297-0566
Practice Address - Fax:323-297-0568
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5020133N00000X
CA61933183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No183500000XPharmacy Service ProvidersPharmacist