Healthcare Provider Details

I. General information

NPI: 1922926542
Provider Name (Legal Business Name): DIANA ISAAC HANNA SADEK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 MARKET ST
VENTURA CA
93003-7851
US

IV. Provider business mailing address

9500 TEXHOMA AVE
NORTHRIDGE CA
91325-2047
US

V. Phone/Fax

Practice location:
  • Phone: 855-352-7974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number92626
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: