Individual provider Active NPI

Morad Hajaliloo, PHARM. D.

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1770976383
Registry record updated Mar 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49583 Issued in CA
Practice address
10861 Weyburn Ave
Los Angeles, CA 90024-2957
Phone
(310) 824-5013
Fax
(310) 824-5719
NPI assigned
Mar 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49583 CA Primary

Addresses

Primary practice location

10861 Weyburn Ave
Los Angeles, CA 90024-2957

Mailing address

10861 Weyburn Ave
Los Angeles, CA 90024-2957
Phone (310) 824-5013

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
49583CAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425686400000",
    "number": "1770976383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 WEYBURN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242957",
            "telephone_number": "310-824-5013",
            "fax_number": "310-824-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 WEYBURN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242957",
            "telephone_number": "310-824-5013",
            "fax_number": "310-824-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJALILOO",
        "first_name": "MORAD",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-07",
        "last_updated": "2015-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.