S Amir Farzan Tavakkoli Isfahani
NPI #1164805875 in Laguna Niguel, California
Provider Information
- NPI Number
- 1164805875
- Entity Type
- Organization
- Organization Name
- S Amir Farzan Tavakkoli Isfahani
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jul 7, 2015
Practice Location
- Address
- 27871 LA PAZ RD
- City
- Laguna Niguel
- State
- California
- ZIP Code
- 92677-3920
- Phone
- (949) 360-1600
Authorized Official
- Name
- SEID AMIR FARZAN TAVAKKOLI ISFAHANI
- Title
- OWNER
- Phone
- (256) 797-2552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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