Provider Demographics
NPI:1053140624
Name:NOVA HEALTH PHARMA
Entity type:Organization
Organization Name:NOVA HEALTH PHARMA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ERFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHZADI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:323-275-7064
Mailing Address - Street 1:8346 TOPANGA CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-2344
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8346 TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-2344
Practice Address - Country:US
Practice Address - Phone:323-987-0315
Practice Address - Fax:323-987-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy