Healthcare Provider Details

I. General information

NPI: 1669312625
Provider Name (Legal Business Name): EZYFILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27365 JEFFERSON AVE STE P
TEMECULA CA
92590-5607
US

IV. Provider business mailing address

27365 JEFFERSON AVE STE P
TEMECULA CA
92590-5607
US

V. Phone/Fax

Practice location:
  • Phone: 951-206-0900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: ALI ALSARRAF
Title or Position: OWNER
Credential:
Phone: 951-206-0900