Healthcare Provider Details

I. General information

NPI: 1639771868
Provider Name (Legal Business Name): B7 HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11525 BROOKSHIRE AVE STE 100
DOWNEY CA
90241-4982
US

IV. Provider business mailing address

11525 BROOKSHIRE AVE STE 100
DOWNEY CA
90241-4982
US

V. Phone/Fax

Practice location:
  • Phone: 323-487-7007
  • Fax: 323-487-7005
Mailing address:
  • Phone: 323-487-7007
  • Fax: 323-487-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATTHEWS EGHBALLI
Title or Position: PRESIDENT/CEO
Credential: PHARM D
Phone: 323-487-7007