Healthcare Provider Details

I. General information

NPI: 1467290171
Provider Name (Legal Business Name): TINA ZOLFAGHARI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3490 CALIFORNIA ST STE 200
SAN FRANCISCO CA
94118-1892
US

IV. Provider business mailing address

1298 SACRAMENTO ST APT 4
SAN FRANCISCO CA
94108-1938
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-6200
  • Fax:
Mailing address:
  • Phone: 916-474-1733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number87214
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: