Healthcare Provider Details

I. General information

NPI: 1104085331
Provider Name (Legal Business Name): REGINA PAULETTE OSORIO ZARAGOZA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3813 PLAZA DR
OCEANSIDE CA
92056-4624
US

IV. Provider business mailing address

3813 PLAZA DR
OCEANSIDE CA
92056-4624
US

V. Phone/Fax

Practice location:
  • Phone: 760-941-0712
  • Fax: 760-941-5334
Mailing address:
  • Phone: 760-941-0712
  • Fax: 760-941-5335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH58203
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: