Healthcare Provider Details

I. General information

NPI: 1649695800
Provider Name (Legal Business Name): GOKUL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2014
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 E ELDER ST STE C
FALLBROOK CA
92028-3089
US

IV. Provider business mailing address

587 E ELDER ST STE C
FALLBROOK CA
92028-3089
US

V. Phone/Fax

Practice location:
  • Phone: 760-645-3021
  • Fax: 442-444-8217
Mailing address:
  • Phone: 760-645-3021
  • Fax: 442-444-8217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number54547
License Number StateCA

VIII. Authorized Official

Name: MR. BADAL D SATASIA
Title or Position: PRESIDENT/PIC
Credential: RPH
Phone: 760-645-3021