Healthcare Provider Details

I. General information

NPI: 1275471211
Provider Name (Legal Business Name): TANIA AL AYASS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 ZONAL AVE
LOS ANGELES CA
90089-5305
US

IV. Provider business mailing address

7828 DAY CREEK BLVD APT 1327
RANCHO CUCAMONGA CA
91739-8581
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-1369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberINT49595
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: