Healthcare Provider Details

I. General information

NPI: 1699686808
Provider Name (Legal Business Name): MINA HANI ALSAADI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W ONTARIO AVE
CORONA CA
92882-5215
US

IV. Provider business mailing address

4456 OWENS ST UNIT 103
CORONA CA
92883-0835
US

V. Phone/Fax

Practice location:
  • Phone: 951-582-9551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: