IndividualActive
Alireza Hayatshahi, PHARMD, BCPS, BCIDP
NPI 1366659625 · Pharmacotherapy Pharmacist · Loma Linda, CA
Provider details
- NPI number
- 1366659625
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD, BCPS, BCIDP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 76011 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
24745 Stewart Street Shryock Hall
Loma Linda, CA 92350-6709
Phone: (909) 558-5817
Approximate (ZIP-level) locationGet directions
Mailing address
451 Sonora Cir
Redlands, CA 92373-8509
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2023-02-13
- Certified
- 2023-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.