Individual
AZIN KEYVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHAMD
Contact information
Practice address
6500 WILSHIRE BLVD STE 2240, LOS ANGELES, CA 90048-4935
(310) 385-3457
Mailing address
10654 EASTBORNE AVE APT 102, LOS ANGELES, CA 90024-5966
(310) 980-4256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
77726
CA
Other
Enumeration date
11/05/2018
Last updated
11/06/2018
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