Healthcare Provider Details

I. General information

NPI: 1134605801
Provider Name (Legal Business Name): NAVID HOJATTI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2018
Last Update Date: 07/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 THE CROSSROADS BLVD
CARMEL CA
93923-8610
US

IV. Provider business mailing address

6 THE CROSSROADS BLVD
CARMEL CA
93923-8610
US

V. Phone/Fax

Practice location:
  • Phone: 831-624-0148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67765
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: