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

MR. FARIBORZ DAVID MASSOUDI

Active Sole Proprietor

MR. FARIBORZ DAVID MASSOUDI is a Pharmacy healthcare provider located in SAN PEDRO, California. NPI 1487793741 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · SAN PEDRO, CA

Registration Details

NPI Number
1487793741
Provider Type
Individual
Gender
Male
NPI Issued
Feb 5, 2007 (19.539150793408 yrs)
Last Updated
Aug 8, 2016
Licenses
PHY45471 (CA)
PHY45471 (CA)
Sole Proprietor
Yes

Practice Information

Address
891 W 9TH ST
SAN PEDRO, CA, 907313603
Browse CA providers · Browse ZIP 90731
Phone
3108332575
Fax
3108322531
Primary Specialty
Pharmacy
333600000X
Additional Specialty
Retail Pharmacy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.