Provider Demographics
NPI:1538807847
Name:KHALIFIAN, MAHSHID PAYA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MAHSHID
Middle Name:PAYA
Last Name:KHALIFIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MAHSHID
Other - Middle Name:
Other - Last Name:PAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:10362 SUMMER HOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-2116
Mailing Address - Country:US
Mailing Address - Phone:310-600-5411
Mailing Address - Fax:
Practice Address - Street 1:7360 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-6619
Practice Address - Country:US
Practice Address - Phone:310-360-9969
Practice Address - Fax:310-360-9959
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist