Healthcare Provider Details

I. General information

NPI: 1396290516
Provider Name (Legal Business Name): PINAL SANGANI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PINAL PATEL

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 LOS PADRES LN
PLACENTIA CA
92870-6234
US

IV. Provider business mailing address

306 LOS PADRES LN
PLACENTIA CA
92870-6234
US

V. Phone/Fax

Practice location:
  • Phone: 714-732-3298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: