Provider Demographics
NPI:1972051142
Name:BEHJATI, SAHBA (PHARMD)
Entity type:Individual
Prefix:
First Name:SAHBA
Middle Name:
Last Name:BEHJATI
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 1:721 S GLASGOW AVE
Mailing Address - Street 2:STE C
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-3014
Mailing Address - Country:US
Mailing Address - Phone:866-665-1121
Mailing Address - Fax:
Practice Address - Street 1:721 S GLASGOW AVE
Practice Address - Street 2:STE C
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3014
Practice Address - Country:US
Practice Address - Phone:866-665-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA617611835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy