Parinaz Khojastehfar

Individual provider Active NPI Pharmacist · Lake Isabella, CA

NPI 1629442017 · NPPES record last updated Dec 29, 2015

Key facts

NPI
1629442017
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
73917 (CA)
Practice address
5530 Lake Isabella
Lake Isabella, CA 93240
Phone
(760) 379-5621
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
73917CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 73917 CA Yes

Addresses

Primary practice location

5530 Lake Isabella
Lake Isabella, CA 93240

Mailing address

5530 Lake Isabella
Lake Isabella, CA 93240

Other providers in Lake Isabella, CA

All providers in Lake Isabella, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.