Provider Demographics
NPI:1871309708
Name:ZARRINNIA, LIZA KOHANTEB (RPH)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:KOHANTEB
Last Name:ZARRINNIA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:LIZA
Other - Middle Name:KOHANTEB
Other - Last Name:ZARRINNIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LIZA ZARRINNIA
Mailing Address - Street 1:4955 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1801
Mailing Address - Country:US
Mailing Address - Phone:818-857-5000
Mailing Address - Fax:818-850-5101
Practice Address - Street 1:4955 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1801
Practice Address - Country:US
Practice Address - Phone:818-857-5000
Practice Address - Fax:818-850-5101
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist