Healthcare Provider Details

I. General information

NPI: 1568074458
Provider Name (Legal Business Name): GEORGE ESKANDER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 W CENTURY BLVD
INGLEWOOD CA
90303-1366
US

IV. Provider business mailing address

3331 W CENTURY BLVD
INGLEWOOD CA
90303-1366
US

V. Phone/Fax

Practice location:
  • Phone: 310-671-1523
  • Fax: 310-671-2179
Mailing address:
  • Phone: 310-671-1523
  • Fax: 310-671-2179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80486
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: