Individual
SHAIDA ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, APP
Contact information
Practice address
3303 HARBOR BLVD STE C1, COSTA MESA, CA 92626-1518
(267) 391-6764
Mailing address
3303 HARBOR BLVD STE C1, COSTA MESA, CA 92626-1518
(949) 996-4354
Taxonomy
Speciality
Code
Description
License number
State
1835C0207X
Compounded Sterile Preparations Pharmacist
79870
CA
1835G0303X
Geriatric Pharmacist
79870
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
79870
CA
1835P1200X
Pharmacotherapy Pharmacist
79870
CA
Other
Enumeration date
11/08/2018
Last updated
04/24/2026
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