Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
Bruin Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
DR. JASON JAVAHERIFAR PHARM.D. (PHARMACY MANAGER)
(310) 206-2146
Entity
Organization
Contact information
Practice address
308 WESTWOOD PLZ # A-250, LOS ANGELES, CA 90095-1703
(310) 206-2146
(310) 267-2014
Mailing address
308 WESTWOOD PLZ # A-250, LOS ANGELES, CA 90095-1703
(310) 206-2146
(310) 267-2014
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHE54650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613244
NABP
—
01
—
PHE54650
PHARMACY LICENSE NUMBER
CA
Enumeration date
04/16/2007
Last updated
03/07/2023
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