Healthcare Provider Details

I. General information

NPI: 1487065033
Provider Name (Legal Business Name): JOSEPHINE ARANDA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2014
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 LOMITA BLVD STE 102
HARBOR CITY CA
90710-2084
US

IV. Provider business mailing address

1403 LOMITA BLVD STE 102
HARBOR CITY CA
90710-2084
US

V. Phone/Fax

Practice location:
  • Phone: 310-534-6114
  • Fax:
Mailing address:
  • Phone: 310-534-6114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number76481
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPH235353
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number10155
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: