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NPI Code Detail

MEDICARE: STEVEN VAN PHARMD

MEDICARE: STEVEN VAN PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P2201XAmbulatory Care Pharmacist75388CA

General Provider Information

NPI Number : 1083134662
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN VAN PHARMD
Provider Business Mailing Address
First Line : 11875 EXLINE ST APT E
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2672
Country : US
Telephone Number : 626-679-8845
Fax Number :
Provider Business Practice Location Address
First Line : 8501 WILSHIRE BLVD STE 150
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-3148
Country : US
Telephone Number : 310-385-3534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 06/02/2026

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