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NPI Code Detail

MEDICARE: BIJAN JAMIE SABOURI PHARMD

MEDICARE:   BIJAN JAMIE SABOURI  PHARMD
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
1183500000XPharmacist73242CA

General Provider Information

NPI Number : 1790146173
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIJAN JAMIE SABOURI PHARMD
Provider Business Mailing Address
First Line : 455 N MAGNOLIA AVE
Second Line :
City : EL CAJON
State : CA
Zip : 92020-3606
Country : US
Telephone Number : 619-442-0303
Fax Number : 619-442-0305
Provider Business Practice Location Address
First Line : 455 N MAGNOLIA AVE
Second Line :
City : EL CAJON
State : CA
Zip : 92020-3606
Country : US
Telephone Number : 619-442-0303
Fax Number : 619-442-0305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2016
Last Update Date : 03/22/2021

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Directions to “ BIJAN JAMIE SABOURI PHARMD” Practice Location

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