Organization
SSMENA PHARM INC
Active
Other names
Ramsay Rexall drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABIL BOTROS PHD (OWNER AND PIC)
(949) 646-7744
Entity
Organization
Contact information
Practice address
2346 NEWPORT BLVD STE A5, COSTA MESA, CA 92627-1594
(949) 647-7744
(949) 646-4614
Mailing address
2346 NEWPORT BLVD #A5, COSTA MESA, CA 92627
(949) 647-7744
(949) 646-4614
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000584
PK
—
05
—
PHA443860
—
CA
Enumeration date
09/20/2006
Last updated
04/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us