Healthcare Provider Details

I. General information

NPI: 1326559279
Provider Name (Legal Business Name): AREFEH OROUJI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10204 PAYTON
IRVINE CA
92620-3499
US

IV. Provider business mailing address

16200 SAND CANYON AVE
IRVINE CA
92618-3714
US

V. Phone/Fax

Practice location:
  • Phone: 818-455-3454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number76474
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: