Individual
MRS. KATAYOUN 0000 ROUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6300 IRVINE BLVD, IRVINE, CA 92620-2102
(949) 559-1139
(949) 559-1776
Mailing address
6300 IRVINE BLVD, IRVINE, CA 92620-2102
(949) 559-1139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
49980
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
49980
CA
Other
Enumeration date
01/25/2007
Last updated
05/21/2026
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