Most Relevant Information
Provider Data
| NPI Number: | 1003373473 |
| Provider Name: | FARZAD JACK PIROOZ |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 48428 |
Most Important Dates
| Enumeration Date: | 02/21/2019 |
| Last Updated: | 02/21/2019 |
Provider Practice Location
11504 SANTA MONICA BLVD
LOS ANGELES
CA
900253008
Practice Location Phone/Fax
| Phone: | 3104790200 |
| Fax: | 3104790220 |
Provider Mailing Location
11504 SANTA MONICA BLVD
LOS ANGELES
CA
900253008
Provider Mailing Phone/Fax
| Phone: | 3104790200 |
| Fax: | 3104790220 |