Healthcare Provider Details

I. General information

NPI: 1124331251
Provider Name (Legal Business Name): NAUREEN KAZMI PHARMD, BCACP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2010
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34800 BOB WILSON DR
SAN DIEGO CA
92134-0002
US

IV. Provider business mailing address

34800 BOB WILSON DR
SAN DIEGO CA
92134-1098
US

V. Phone/Fax

Practice location:
  • Phone: 619-805-6252
  • Fax: 619-216-5509
Mailing address:
  • Phone: 619-805-6252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH66767
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: