Organization
BAIDEN GROUP INC
Active
Other names
CALIFORNIA CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMMA AMIHYIA (OWNER)
(760) 373-9279
Entity
Organization
Contact information
Practice address
9160 CALIFORNIA CITY BLVD, CALIFORNIA CITY, CA 93505-2820
(760) 373-9279
(760) 373-5271
Mailing address
9160 CALIFORNIA CITY BLVD, CALIFORNIA CITY, CA 93505-2820
(760) 373-9279
(760) 373-5271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49781
CA
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114887
PK
—
Enumeration date
06/20/2006
Last updated
04/01/2016
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