Individual
DR. MOJDEH ROUHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
19950 RINALDI ST STE 102, PORTER RANCH, CA 91326-4141
(818) 360-1915
(818) 368-4987
Mailing address
19950 RINALDI ST STE 102, PORTER RANCH, CA 91326-4141
(818) 360-1915
(818) 367-4987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
48684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48684
1538350541
CA
Enumeration date
03/24/2021
Last updated
03/24/2021
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