Organization
SELECT SPECIALTY RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANA KAVEH PHARM.D. (PIC)
(714) 486-3455
Entity
Organization
Contact information
Practice address
15761 TUSTIN VILLAGE WAY STE 108, TUSTIN, CA 92780-8328
(714) 486-3455
(714) 486-5560
Mailing address
15761 TUSTIN VILLAGE WAY STE 108, TUSTIN, CA 92780-8328
(714) 486-3455
(714) 486-5560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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