Healthcare Provider Details

I. General information

NPI: 1538058417
Provider Name (Legal Business Name): EYMAN MOHAMMED SONBOL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

2702 COPA DE ORO DR
LOS ALAMITOS CA
90720-4912
US

V. Phone/Fax

Practice location:
  • Phone: 612-598-7179
  • Fax:
Mailing address:
  • Phone: 310-423-9550
  • Fax: 612-598-7179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number61750
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: