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NPI Code Detail

MEDICARE: DR. HOMAYOUN NAMJO PHARM.D.

MEDICARE:  DR. HOMAYOUN  NAMJO  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
1183500000XPharmacist47520CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2PHY55634OTHERCABOARD OF PHARMACY

General Provider Information

NPI Number : 1427531672
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOMAYOUN NAMJO PHARM.D.
Provider Business Mailing Address
First Line : 2530B SAN VICENTE BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90402-2321
Country : US
Telephone Number : 310-393-0201
Fax Number : 310-394-2712
Provider Business Practice Location Address
First Line : 2530B SAN VICENTE BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90402-2321
Country : US
Telephone Number : 310-393-0201
Fax Number : 310-394-2712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2018
Last Update Date : 03/15/2021

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