MEDICARE: KAMILIA HAMDULLA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	55615	CA

General Provider Information

NPI Number	:	1477908283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMILIA HAMDULLA

Provider Business Mailing Address
First Line	:	1520 N MOUNTAIN AVE STE 125
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-1132
Country	:	US
Telephone Number	:	909-391-3542
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 N MOUNTAIN AVE STE 125
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-1132
Country	:	US
Telephone Number	:	909-391-3542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2016
Last Update Date	:	12/09/2025

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Directions to “ KAMILIA HAMDULLA ” Practice Location

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