Organization
GHORBANI FAMILY SOLUTIONS LLC
Active
Other names
MEDCENTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM GHORBANI PHARM D (MEMBER/PHARMACIST)
(818) 312-2396
Entity
Organization
Contact information
Practice address
6401 PLATT AVE, 4, WEST HILLS, CA 91307-3200
(818) 312-2396
(888) 491-3595
Mailing address
6401 PLATT AVE, 4, WEST HILLS, CA 91307-3200
(818) 312-2396
(888) 491-3595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 54612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY54612
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
11/14/2016
Last updated
11/14/2016
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