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Contact Information

AZITA MAVANDADI, PHARM.D.
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA92646-2232
 Phone: 714-968-0068
 Fax: 714-378-2188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pharmacology

208U00000X
Indicates primary specialty

NPI Profile & details for AZITA MAVANDADI · (Female)

NPI # 1215934468
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 07/01/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 49724
  • CA Other 0497240 MEDI CAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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