Provider Demographics
NPI:1427724533
Name:AZIZI, SEAN (PHARMD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:AZIZI
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 1:9700 ARBY DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-1203
Mailing Address - Country:US
Mailing Address - Phone:661-644-6696
Mailing Address - Fax:
Practice Address - Street 1:9700 ARBY DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-1203
Practice Address - Country:US
Practice Address - Phone:661-644-6696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP8599183500000X
CA81297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist