Healthcare Provider Details

I. General information

NPI: 1386035293
Provider Name (Legal Business Name): BEST CARE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2015
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7021 CANOGA AVE #B
CANOGA PARK CA
91303-3106
US

IV. Provider business mailing address

7021 CANOGA AVE #B
CANOGA PARK CA
91303-3106
US

V. Phone/Fax

Practice location:
  • Phone: 818-914-0773
  • Fax: 818-917-0776
Mailing address:
  • Phone: 818-914-0773
  • Fax: 818-917-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 52546
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPHY 52546
License Number StateCA

VIII. Authorized Official

Name: MS. SARA SHAHRAM
Title or Position: PRESIDENT/PIC
Credential: PHARM D
Phone: 818-914-0773