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NPI Code Detail

MEDICARE: DR. MUNAVER H BHOLAT PHARM.D.

MEDICARE: DR. MUNAVER H BHOLAT PHARM.D.
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
1183500000XPharmacistRPH36350CA
21835N1003XNutrition Support PharmacistRPH36350CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RPH36350OTHERCAPHARMACY LICENSE

General Provider Information

NPI Number : 1255324133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUNAVER H BHOLAT PHARM.D.
Provider Business Mailing Address
First Line : 2001 MATHEWS AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90278-3009
Country : US
Telephone Number : 310-372-6377
Fax Number :
Provider Business Practice Location Address
First Line : 4101 TORRANCE BLVD
Second Line :
City : TORRANCE
State : CA
Zip : 90503-4607
Country : US
Telephone Number : 310-303-5722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 09/11/2025

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