MEDICARE: SARAH JANINE MANSOUR 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
1	183500000X	Pharmacist	CA67345	CA
2	183500000X	Pharmacist	PH60213396	WA
3	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	67345	CA

General Provider Information

NPI Number	:	1730452822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JANINE MANSOUR PHARM.D.

Provider Business Mailing Address
First Line	:	4311 LINCOLN BLVD
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-8814
Country	:	US
Telephone Number	:	310-821-4993
Fax Number	:	310-306-6499

Provider Business Practice Location Address
First Line	:	4311 LINCOLN BLVD
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-8814
Country	:	US
Telephone Number	:	310-821-4993
Fax Number	:

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

Provider Enumeration Date	:	02/20/2012
Last Update Date	:	05/18/2026

Similar Medicare Providers

1851316459 — RALPHS GROCERY COMPANY
Practice Location Address:

4311 LINCOLN BLVD
MARINA DEL REY, CA
90292-8814

Practice Phone: 310-821-4993
Practice Fax: 310-306-6499

1437573128 — KYUNGHWA HONG WON PHARM.D.
Practice Location Address:

4311 LINCOLN BLVD
MARINA DEL REY, CA
90292-8814

Practice Phone: 310-821-4993
Practice Fax: 310-306-6499

1487051041 — EDWARD LABBAN
Practice Location Address:

4311 LINCOLN BLVD
MARINA DEL REY, CA
90292-8814

Practice Phone: 310-821-4993
Practice Fax:

1386451557 — TRISHA ANGELINE CLARET
Practice Location Address:

4311 LINCOLN BLVD
MARINA DEL REY, CA
90292-8814

Practice Phone: 310-821-4993
Practice Fax:

1861446015 — KAMBIZ FARBAKHSH MD
Practice Location Address:

4650 LINCOLN BLVD
MARINA DEL REY, CA
90292-6306

Practice Phone: 310-823-8911
Practice Fax: 310-823-8911

1730197062 — JAWCHYI LEE MD
Practice Location Address:

13428 MAXELLA AVENUE #759
MARINA DEL REY, CA
90292-6090

Practice Phone: 310-529-7734
Practice Fax:

Directions to “ SARAH JANINE MANSOUR PHARM.D.” 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.