Organization
C&A MEDICAL 1
Active
Other names
Advanced Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM SHARAFSALEH (PRESIDENT)
(760) 212-2761
Entity
Organization
Contact information
Practice address
22642 LAMBERT ST STE 404, LAKE FOREST, CA 92630-1645
(949) 347-8881
(949) 347-8886
Mailing address
22642 LAMBERT ST, SUITE 404, LAKE FOREST, CA 92630-1610
(949) 347-8881
(949) 347-8886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
49911
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122438
PK
—
Enumeration date
10/16/2009
Last updated
11/06/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us