Individual
AFREH KHAZAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7360 SANTA MONICA BLVD # 101, WEST HOLLYWOOD, CA 90046-6619
(310) 360-9969
(310) 360-9959
Mailing address
7360 SANTA MONICA BLVD # 101, WEST HOLLYWOOD, CA 90046-6619
(310) 360-9969
(310) 360-9959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH44814
BOARD OF PHARMACY
CA
Enumeration date
12/15/2017
Last updated
12/15/2017
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