Healthcare Provider Details

I. General information

NPI: 1821697731
Provider Name (Legal Business Name): HANA RACHEL GELMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VINTAGE WAY
NOVATO CA
94945-5007
US

IV. Provider business mailing address

2604 SIMPLICITY
IRVINE CA
92620-3813
US

V. Phone/Fax

Practice location:
  • Phone: 415-899-1337
  • Fax:
Mailing address:
  • Phone: 415-819-4606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number83417
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: