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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Specialty Pharmacy · LOS ANGELES, CA

Registration Details

NPI Number
1033131107
Provider Type
Organization
NPI Issued
Jul 24, 2006 (19.745763927276 yrs)
Last Updated
Dec 3, 2025
License
PHY44973 (CA)

Practice Information

Address
1400 S GRAND AVE STE 801
LOS ANGELES, CA, 900153068
Browse CA providers · Browse ZIP 90015
Phone
2137415271
Fax
2137419747
Primary Specialty
Specialty Pharmacy
3336S0011X
Additional Specialty
Long-Term Care Pharmacy
Additional Specialty
Specialty Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.