Healthcare Provider Details

I. General information

NPI: 1013393107
Provider Name (Legal Business Name): SABA RAB PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 06/02/2020
Certification Date: 06/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WASHINGTON ST STE 100
SAN DIEGO CA
92103-2227
US

IV. Provider business mailing address

10140 CAMPUS POINT DR
SAN DIEGO CA
92121-1520
US

V. Phone/Fax

Practice location:
  • Phone: 800-727-4777
  • Fax: 858-964-3152
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number055171
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number76378
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: