Healthcare Provider Details

I. General information

NPI: 1083529028
Provider Name (Legal Business Name): AFSHAR HASSANI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14638 BUCKWOOD ST
POWAY CA
92064-6412
US

IV. Provider business mailing address

14638 BUCKWOOD ST
POWAY CA
92064-6412
US

V. Phone/Fax

Practice location:
  • Phone: 858-722-1912
  • Fax:
Mailing address:
  • Phone: 858-722-1912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: