Individual
BITA GHANIMIFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 W SLAUSON AVE, LOS ANGELES, CA 90043-2564
(323) 295-9661
Mailing address
3230 W SLAUSON AVE, LOS ANGELES, CA 90043-2564
(310) 717-2740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87915
CA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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