Healthcare Provider Details

I. General information

NPI: 1255008520
Provider Name (Legal Business Name): KASHMIRA CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29645 RANCHO CALIFORNIA RD STE 129
TEMECULA CA
92591-5285
US

IV. Provider business mailing address

29645 RANCHO CALIFORNIA RD STE 129
TEMECULA CA
92591-5285
US

V. Phone/Fax

Practice location:
  • Phone: 951-506-4006
  • Fax: 951-506-4007
Mailing address:
  • Phone: 951-506-4006
  • Fax: 951-506-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SATISH BALDHA
Title or Position: CEO
Credential:
Phone: 951-506-4006