Provider Demographics
NPI:1881168904
Name:SALEHANI, FARID (RPH)
Entity type:Individual
Prefix:
First Name:FARID
Middle Name:
Last Name:SALEHANI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 N LA PEER DR APT 108
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1701
Mailing Address - Country:US
Mailing Address - Phone:310-916-6780
Mailing Address - Fax:
Practice Address - Street 1:231 N LA PEER DR APT 108
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1701
Practice Address - Country:US
Practice Address - Phone:310-916-6780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty