Provider Demographics
NPI:1306244280
Name:ZARGARI, MAHYAR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAHYAR
Middle Name:
Last Name:ZARGARI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 S SALTAIR AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2123
Mailing Address - Country:US
Mailing Address - Phone:310-429-9585
Mailing Address - Fax:
Practice Address - Street 1:1432 S SALTAIR AVE APT 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-2123
Practice Address - Country:US
Practice Address - Phone:310-429-9585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist