Individual
BAHAR FATURECHI DAVIDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8510 BALBOA BLVD STE 150, NORTHRIDGE, CA 91325-5810
(310) 475-2137
Mailing address
10660 WILSHIRE BLVD APT 904, LOS ANGELES, CA 90024-7303
(818) 637-2000
(818) 671-5682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51586
CA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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