Healthcare Provider Details

I. General information

NPI: 1730994310
Provider Name (Legal Business Name): GEORGE ALFARHAT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

6839 CLEVELAND BAY CT
EASTVALE CA
92880-3902
US

V. Phone/Fax

Practice location:
  • Phone: 310-267-8500
  • Fax:
Mailing address:
  • Phone: 714-501-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number89787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: