Healthcare Provider Details

I. General information

NPI: 1992628200
Provider Name (Legal Business Name): CALIFORNIA INTEGRATIVE PHARMACY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 DELAMO FASHION SQ UNIT NO. 14301
TORRANCE CA
90503
US

IV. Provider business mailing address

291 DELAMO FASHION SQ UNIT NO. 14301
TORRANCE CA
90503
US

V. Phone/Fax

Practice location:
  • Phone: 917-648-0781
  • Fax:
Mailing address:
  • Phone: 917-648-0781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARY ELIAS
Title or Position: PRESIDENT
Credential: PHARMD, BCACP
Phone: 917-648-0781