Healthcare Provider Details

I. General information

NPI: 1740139385
Provider Name (Legal Business Name): AKMAL ISHAK FARAHAT ISHAK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 VAN NUYS BLVD
VAN NUYS CA
91405-1949
US

IV. Provider business mailing address

8455 LINDLEY AVE APT 305
NORTHRIDGE CA
91325-3770
US

V. Phone/Fax

Practice location:
  • Phone: 818-627-3000
  • Fax:
Mailing address:
  • Phone: 818-641-9693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91978
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: