Healthcare Provider Details

I. General information

NPI: 1013406750
Provider Name (Legal Business Name): FIANNA GARBUZ PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2018
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12143 VENTURA BLVD
STUDIO CITY CA
91604-2515
US

IV. Provider business mailing address

12143 VENTURA BLVD
STUDIO CITY CA
91604-2515
US

V. Phone/Fax

Practice location:
  • Phone: 818-980-1502
  • Fax:
Mailing address:
  • Phone: 818-980-1502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number55604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: