Individual
ASEILE KHODR BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7130 SHORELINE DR UNIT 1102, SAN DIEGO, CA 92122-4906
(858) 531-9030
Mailing address
7130 SHORELINE DR UNIT 1102, SAN DIEGO, CA 92122-4906
(858) 531-9030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80089
CALIFORNIA BOARD OF PHARMACY
CA
Enumeration date
05/22/2019
Last updated
05/22/2019
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