MEDICARE: GARLO CORP

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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY44787	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2001979	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124111562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARLO CORP

Provider Business Mailing Address
First Line	:	11270 LOS ALAMITOS BLVD
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3958
Country	:	US
Telephone Number	:	562-596-2729
Fax Number	:	562-598-5771

Provider Business Practice Location Address
First Line	:	11270 LOS ALAMITOS BLVD
Second Line	:
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3958
Country	:	US
Telephone Number	:	562-596-2729
Fax Number	:	562-598-5771

Authorized Official
Title or Position	:	OWNER AND PHARMACIST
Name	:	LOREEN AVAKIAN
Credential	:	RPH
Telephone Number	:	562-596-2729

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	09/19/2025

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Directions to “GARLO CORP ” Practice Location

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