Individual
MAYSAM MORTAZAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5531 OHIO ST, YORBA LINDA, CA 92886-5434
(801) 518-1327
Mailing address
5531 OHIO ST, YORBA LINDA, CA 92886-5434
(801) 518-1327
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
60700
CA
Other
Enumeration date
10/03/2013
Last updated
01/21/2020
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