DR. MONA KHEDMATIAN (NPI# 1245528587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245528587 |
| Entity Type | Individual |
| Full Name | DR. MONA KHEDMATIAN |
| Credential | PHARM D |
| Practice Address |
300 N Canon Dr Beverly Hills CA 90210-4705 |
| Mailing Address |
1545 Amherst Ave Apt 109 Los Angeles CA 90025-3688 |
| Practice Telephone | 3102733561 |
| Mailing Telephone | 3104240848 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | INT23628 | CA | Student, Health Care |
| Street Address |
300 N CANON DR |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962722603 | Mandel M. Miller | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2010-06-04 |
| 1922563238 | Kaitlyn Ross | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2019-01-31 |
| 1083107775 | Roxanne Sara Pezeshk | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2018-06-07 |
| 1710490651 | Mahsa Haghgooyan | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2017-11-14 |
| 1912458258 | Amanda Azarakhshi | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2016-10-21 |
| 1861808552 | Connie Shim | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2014-07-02 |
| 1750796108 | Sheila Rafalian | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2014-06-24 |
| 1992119432 | Lilia Engracia Lachica | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2014-06-12 |
| 1326479569 | Ismail Ebrahim Keekeebhai | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2013-12-12 |
| 1053627901 | Haeran Kim | Pharmacist | 300 N Canon Dr, Beverly Hills, CA 90210-4705 | 2010-08-28 |
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|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404357 | Ashley Negin Banayan | Student in an Organized Health Care Education/Training Program | 215 N Rexford Dr, Beverly Hills, CA 90210-4907 | 2020-07-09 |
| 1023512399 | Rictavia Maliszewski | Student in an Organized Health Care Education/Training Program | 8918 Burton Way Apt 1, Beverly Hills, CA 90211-1755 | 2018-03-21 |
| 1467719997 | Shahrzad Morim | Student in an Organized Health Care Education/Training Program | 406 N Palm Dr Apt 202, Beverly Hills, CA 90210-4026 | 2012-04-22 |
| 1124305883 | Havovi Zersis Birdie | Student in an Organized Health Care Education/Training Program | 423 South Rexford Drive Apartment 205, Beverly Hills, CA 90212 | 2011-11-09 |
| 1619256914 | Ryan Michael Itzcovich Schuster | Student in an Organized Health Care Education/Training Program | 200 N Swall Dr Unit 508, Beverly Hills, CA 90211-4725 | 2011-08-04 |
| 1497046635 | Walter Michael Sweeney II | Student in an Organized Health Care Education/Training Program | 120 S Spalding Dr Ste 222, Beverly Hills, CA 90212-1840 | 2011-04-21 |
| 1750609798 | Tamara Levy | Student in an Organized Health Care Education/Training Program | 1690 Coldwater Canyon Dr, Beverly Hills, CA 90210-2413 | 2010-05-15 |
| 1568791655 | Debbie Eshtiaghpour | Student in an Organized Health Care Education/Training Program | 148 N Carson Rd, Beverly Hills, CA 90211-2111 | 2009-12-18 |
| 1801027560 | Daniel Ravanshenas | Student in an Organized Health Care Education/Training Program | 416 N Oakhurst Dr Apt 201, Beverly Hills, CA 90210-4085 | 2009-07-29 |
| 1487898987 | Shawna Charles | Student in an Organized Health Care Education/Training Program | 436 S Palm Dr, Beverly Hills, CA 90212-4725 | 2009-04-28 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.