=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477921963
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | C&Z CARE RX INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2015
-----------------------------------------------------
Last Update Date | 07/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4955 VAN NUYS BLVD # 104
-----------------------------------------------------
City | SHERMAN OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91403-1801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-875-5000
-----------------------------------------------------
Fax | 818-850-5101
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4955 VAN NUYS BLVD # 104
-----------------------------------------------------
City | SHERMAN OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91403-1801
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-875-5000
-----------------------------------------------------
Fax | 818-850-5101
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | ARVIN EGHBALI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-875-5000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------