Healthcare Provider Details

I. General information

NPI: 1851649495
Provider Name (Legal Business Name): PARIN BHAKTA PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21255 BURBANK BLVD STE 150
WOODLAND HILLS CA
91367-6674
US

IV. Provider business mailing address

14703 BIOLA WAY
LA MIRADA CA
90638-2919
US

V. Phone/Fax

Practice location:
  • Phone: 877-608-0082
  • Fax:
Mailing address:
  • Phone: 310-936-3352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number68897
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: