Individual
MR. REZA S MOMENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
5474 NEWCASTLE AVE APT A210, ENCINO, CA 91316-2063
(818) 451-3800
Mailing address
5474 NEWCASTLE AVE APT A210, ENCINO, CA 91316-2063
(818) 451-3800
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
59208
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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