Provider Demographics
NPI:1427369479
Name:VAIYANI, YASMEEN (RPH)
Entity type:Individual
Prefix:
First Name:YASMEEN
Middle Name:
Last Name:VAIYANI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 PACIFIC COAST HWY APT G105
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5636
Mailing Address - Country:US
Mailing Address - Phone:310-373-6762
Mailing Address - Fax:
Practice Address - Street 1:108 W ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:CA
Practice Address - Zip Code:90744-4417
Practice Address - Country:US
Practice Address - Phone:310-830-2898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 49245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist