Healthcare Provider Details

I. General information

NPI: 1427069004
Provider Name (Legal Business Name): SOMANI CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 BEAR MOUNTAIN BLVD STE B
ARVIN CA
93203-1453
US

IV. Provider business mailing address

505 BEAR MOUNTAIN BLVD STE B
ARVIN CA
93203-1453
US

V. Phone/Fax

Practice location:
  • Phone: 661-854-5738
  • Fax: 661-854-1678
Mailing address:
  • Phone: 661-854-5738
  • Fax: 661-854-1678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY45077
License Number StateCA

VIII. Authorized Official

Name: MANISH SOMANI
Title or Position: OWNER PHARMACIST
Credential:
Phone: 661-854-5738