Healthcare Provider Details

I. General information

NPI: 1487096681
Provider Name (Legal Business Name): MINA WASIF PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 WILSHIRE BLVD
BEVERLY HILLS CA
90211-3150
US

IV. Provider business mailing address

8501 WILSHIRE BLVD
BEVERLY HILLS CA
90211-3150
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-3534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23545
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: