Individual
AZADEH BAMSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11335 PORTER VALLEY DR, NORTHRIDGE, CA 91326-1705
(818) 667-8330
Mailing address
11335 PORTER VALLEY DR, NORTHRIDGE, CA 91326-1705
(818) 667-8330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65168
CA
Other
Enumeration date
04/24/2011
Last updated
04/24/2011
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