Healthcare Provider Details

I. General information

NPI: 1053777136
Provider Name (Legal Business Name): FAMILY CARE INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2016
Last Update Date: 02/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 MAIN ST SUITE D
IRVINE CA
92614-6761
US

IV. Provider business mailing address

1150 MAIN ST SUITE D
IRVINE CA
92614-6761
US

V. Phone/Fax

Practice location:
  • Phone: 949-486-6790
  • Fax: 858-810-0744
Mailing address:
  • Phone: 949-486-6790
  • Fax: 858-810-0744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 53937
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPHY 53937
License Number StateCA

VIII. Authorized Official

Name: DR. ANDREW M DO
Title or Position: MEMBER/PIC
Credential: PHARM D
Phone: 949-486-6790