MEDICARE: LAKSHMI SAI INC

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	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHY60616	OTHER	CA	CALIFORNIA BOARD OF PHARMACY
2	5688126	OTHER		NCPDP

General Provider Information

NPI Number	:	1649070012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKSHMI SAI INC

Provider Business Mailing Address
First Line	:	17192 MURPHY AVE UNIT 16125
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92623-0490
Country	:	US
Telephone Number	:	949-378-1805
Fax Number	:	619-333-2525

Provider Business Practice Location Address
First Line	:	4153 UNIVERSITY AVE STE B
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1421
Country	:	US
Telephone Number	:	949-378-1805
Fax Number	:	619-333-2525

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARCHANA SOLIPURAM
Credential	:
Telephone Number	:	949-378-1805

Provider Enumeration Date	:	03/15/2025
Last Update Date	:	04/19/2025

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Directions to “LAKSHMI SAI INC ” Practice Location

Language	Start Address	Practice Location

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