Healthcare Provider Details

I. General information

NPI: 1164340923
Provider Name (Legal Business Name): HINA AHMED PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8695 SPECTRUM CENTER BLVD
SAN DIEGO CA
92123-1489
US

IV. Provider business mailing address

12114 RILEY LN
SAN DIEGO CA
92128-4916
US

V. Phone/Fax

Practice location:
  • Phone: 661-303-9789
  • Fax:
Mailing address:
  • Phone: 661-303-9789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72129
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: