Healthcare Provider Details

I. General information

NPI: 1902718588
Provider Name (Legal Business Name): ARIFA IJAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 N BEALE RD
MARYSVILLE CA
95901-6107
US

IV. Provider business mailing address

877 OXFORD CT
YUBA CITY CA
95991-3479
US

V. Phone/Fax

Practice location:
  • Phone: 530-634-9760
  • Fax:
Mailing address:
  • Phone: 530-845-8930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number93135
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: