MEDICARE: DR. KHALED FAKOOR PHARM.D/R.PH.

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	183500000X	Pharmacist	60026	CA

General Provider Information

NPI Number	:	1720313406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KHALED FAKOOR PHARM.D/R.PH.

Provider Business Mailing Address
First Line	:	340 LAKEWOOD CENTER MALL
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-2409
Country	:	US
Telephone Number	:	562-295-1515
Fax Number	:	562-295-1512

Provider Business Practice Location Address
First Line	:	340 LAKEWOOD CENTER MALL
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-2409
Country	:	US
Telephone Number	:	562-295-1515
Fax Number	:	562-295-1512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	10/13/2009

Similar Medicare Providers

1144537218 — DR. HEMALI BHAKTA JARDOSH O.D.
Practice Location Address:

340 LAKEWOOD CENTER MALL
LAKEWOOD, CA
90712-2409

Practice Phone: 562-602-6100
Practice Fax: 562-295-1520

1497857916 — I CARE EYE WARE, INC.
Practice Location Address:

322 LAKEWOOD CENTER MALL
LAKEWOOD, CA
90712-2409

Practice Phone: 562-633-7434
Practice Fax: 562-633-7435

1316250665 — DR. DONALD SAMUEL GOTTLIEB O.D.
Practice Location Address:

322 LAKEWOOD CENTER MALL
LAKEWOOD, CA
90712-2409

Practice Phone: 562-630-2020
Practice Fax:

1235529447 — COSTCO WHOLESALE CORPORATION
Practice Location Address:

340 LAKEWOOD CENTER MALL
LAKEWOOD, CA
90712-2409

Practice Phone: 562-295-1517
Practice Fax: 562-295-1510

1487047494 — COSTCO WHOLESALE CORPORATION
Practice Location Address:

340 LAKEWOOD CENTER MALL
LAKEWOOD, CA
90712-2409

Practice Phone: 562-295-1530
Practice Fax: 562-295-1531

1568137669 — GOTTLIEB OPTOMETRY CORPORATION
Practice Location Address:

322 LAKEWOOD CENTER MALL
LAKEWOOD, CA
90712-2409

Practice Phone: 562-630-2020
Practice Fax: 562-633-7220

Directions to “ DR. KHALED FAKOOR PHARM.D/R.PH.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.