Healthcare Provider Details

I. General information

NPI: 1992656987
Provider Name (Legal Business Name): SHRI GANESH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1942 E ANAHEIM ST
LONG BEACH CA
90813-3991
US

IV. Provider business mailing address

1942 E ANAHEIM ST
LONG BEACH CA
90813-3991
US

V. Phone/Fax

Practice location:
  • Phone: 562-591-0549
  • Fax: 562-591-0540
Mailing address:
  • Phone: 562-591-0549
  • Fax: 562-591-0540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHIRAG PARSOTTAM PATEL
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 562-591-0549