Healthcare Provider Details
I. General information
NPI: 1225962160
Provider Name (Legal Business Name): AHCS SAN PABLO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2023 VALE RD STE 101
SAN PABLO CA
94806-3891
US
IV. Provider business mailing address
PO BOX 3055
HUNTINGTON BEACH CA
92605-3055
US
V. Phone/Fax
- Phone: 510-232-2377
- Fax: 510-234-7181
- Phone: 714-706-9030
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
ZEGLINSKI
Title or Position: CEO
Credential:
Phone: 714-706-9030