Provider Demographics
NPI:1104428879
Name:AGHAIANS, DINO (PHARM D)
Entity type:Individual
Prefix:
First Name:DINO
Middle Name:
Last Name:AGHAIANS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10835 VANOWEN ST UNIT 106
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6412
Mailing Address - Country:US
Mailing Address - Phone:818-751-5959
Mailing Address - Fax:818-751-5958
Practice Address - Street 1:7230 MEDICAL CENTER DR STE 106
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4003
Practice Address - Country:US
Practice Address - Phone:818-346-6550
Practice Address - Fax:818-348-4663
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist