Healthcare Provider Details

I. General information

NPI: 1649109562
Provider Name (Legal Business Name): RASHMI DELVADIA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 E LOS COYOTES DIAGONAL
LONG BEACH CA
90815-2819
US

IV. Provider business mailing address

17425 LAURELBROOK CT
CERRITOS CA
90703-8837
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-2947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90682
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: