Provider Demographics
NPI:1801655444
Name:FARHADMEHR, BAHAREH (DR)
Entity type:Individual
Prefix:
First Name:BAHAREH
Middle Name:
Last Name:FARHADMEHR
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3556 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-2023
Mailing Address - Country:US
Mailing Address - Phone:310-424-8907
Mailing Address - Fax:
Practice Address - Street 1:8660 WOODLEY AVE
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-5745
Practice Address - Country:US
Practice Address - Phone:818-891-1900
Practice Address - Fax:818-891-1904
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist