Healthcare Provider Details

I. General information

NPI: 1992709950
Provider Name (Legal Business Name): CALIFORNIA HOMECARE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 CHERRY AVE STE 130
SIGNAL HILL CA
90755-2067
US

IV. Provider business mailing address

2501 CHERRY AVE STE 130
SIGNAL HILL CA
90755-2067
US

V. Phone/Fax

Practice location:
  • Phone: 562-799-1234
  • Fax: 562-799-1934
Mailing address:
  • Phone: 562-799-1234
  • Fax: 562-799-1934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number980000992
License Number StateCA

VIII. Authorized Official

Name: PARISA KOMPANI JR.
Title or Position: ADMINISTRATOR
Credential: HCEMBA
Phone: 818-442-0008