Organization
FARDIN DADVAND
Active
Other names
PHARMACY 2000
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARDIN DADVAND PHARM. D. (OWNER)
(310) 234-9991
Entity
Organization
Contact information
Practice address
1646 WESTWOOD BLVD, LOS ANGELES, CA 90024-5604
(310) 234-9991
(310) 234-1299
Mailing address
1646 WESTWOOD BLVD, LOS ANGELES, CA 90024-5604
(310) 234-9991
(310) 234-1299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY44494
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA444940
—
CA
Enumeration date
08/09/2005
Last updated
04/26/2022
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