| NPI | 1831180926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MOHSEN GOMAROONI President 949-306-6582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 57164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2004014854) |
| Enumeration Date | 2005-10-29 |
| Last Update Date | 2020-08-22 |