Healthcare Provider Details

I. General information

NPI: 1174582613
Provider Name (Legal Business Name): IV SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 08/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3384 MOTOR AVE
LOS ANGELES CA
90034-3712
US

IV. Provider business mailing address

3384 MOTOR AVE
LOS ANGELES CA
90034-3712
US

V. Phone/Fax

Practice location:
  • Phone: 310-838-8388
  • Fax: 310-838-3899
Mailing address:
  • Phone: 310-838-8388
  • Fax: 310-838-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH44876
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPHY45885
License Number StateCA

VIII. Authorized Official

Name: ALEX VARA
Title or Position: DIRECTOR
Credential:
Phone: 310-838-8388