Healthcare Provider Details

I. General information

NPI: 1346037728
Provider Name (Legal Business Name): MED ZONE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N TUSTIN AVE STE K
SANTA ANA CA
92705-3605
US

IV. Provider business mailing address

12407 HUDSON RIVER DR
EASTVALE CA
91752-7334
US

V. Phone/Fax

Practice location:
  • Phone: 714-558-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DINESH SAVALIA
Title or Position: CEO/DIRECTOR
Credential:
Phone: 714-392-3696