Provider Demographics
NPI:1871708032
Name:SAGHIZADEH, NOUSHIN (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:NOUSHIN
Middle Name:
Last Name:SAGHIZADEH
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 1:5857 PENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5627
Mailing Address - Country:US
Mailing Address - Phone:818-992-8888
Mailing Address - Fax:
Practice Address - Street 1:4710 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3364
Practice Address - Country:US
Practice Address - Phone:818-222-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 49745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1992996234Medicaid