Individual
ALIDZ TALATINIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
591 COUNTRY CLUB DR, SUITE C, SIMI VALLEY, CA 93065-7691
(805) 584-2035
(805) 584-2447
Mailing address
591 COUNTRY CLUB DR, SUITE C, SIMI VALLEY, CA 93065-7691
(805) 584-2035
(805) 584-2447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18
—
CA
Enumeration date
11/11/2015
Last updated
11/11/2015
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