Provider Demographics
NPI:1497543920
Name:YEGANEH, ALBERT Y (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:Y
Last Name:YEGANEH
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 1:3840 HILTON HEAD WAY
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5707
Mailing Address - Country:US
Mailing Address - Phone:310-601-6041
Mailing Address - Fax:
Practice Address - Street 1:3840 HILTON HEAD WAY
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-5707
Practice Address - Country:US
Practice Address - Phone:310-601-6041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist