Provider Demographics
NPI:1588908602
Name:HAKIMFAR, VIDA AFSHANI (PHARM D)
Entity type:Individual
Prefix:DR
First Name:VIDA
Middle Name:AFSHANI
Last Name:HAKIMFAR
Suffix:
Gender:F
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 1:518 N BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-3318
Mailing Address - Country:US
Mailing Address - Phone:310-927-2724
Mailing Address - Fax:310-274-6876
Practice Address - Street 1:8950 W OLYMPIC BLVD STE 106
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3575
Practice Address - Country:US
Practice Address - Phone:310-274-8080
Practice Address - Fax:310-274-6876
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist