Organization
CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISOR
Active
Parent organization
THE CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISOR
Other names
CIBD Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISOR
Authorized official
MARY PHAM PHARM.D, CHC (COO)
(949) 748-7546
Entity
Organization
Contact information
Practice address
18011 SKY PARK CIR, SUITE N, IRVINE, CA 92614-6517
(949) 748-7521
(949) 748-7615
Mailing address
18011 SKY PARK CIR, SUITE N, IRVINE, CA 92614-6517
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
PHY503986
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GI480A
MEDICARE B
CA
Enumeration date
04/01/2013
Last updated
07/16/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up