Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Venice LLC

Organization Community/Retail Pharmacy · NPI 1124484209

Grand Venice LLC is a Community/Retail Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2974 Wilshire Blvd
Los Angeles, CA 90010-1101
Phone: (213) 480-1300
Fax: (213) 480-1301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY54082 (CA)

Record details

NPI number1124484209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kambiz Barkhordarzadeh — Managing Member · (213) 480-1300
Other names Wilshire Grand Pharmacy
NPI enumeratedJanuary 5, 2016
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address2974 Wilshire Blvd, Los Angeles, CA 90010-1101

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