Healthcare Provider Details

I. General information

NPI: 1730651506
Provider Name (Legal Business Name): NIKA ZOWGHI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 12/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2203 LOVERIDGE RD
PITTSBURG CA
94565-5021
US

IV. Provider business mailing address

4975 DISCOVERY PT
DISCOVERY BAY CA
94505-9464
US

V. Phone/Fax

Practice location:
  • Phone: 925-427-2151
  • Fax:
Mailing address:
  • Phone: 650-279-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: