SEID AMIR FARZAN TAVAKKOLI ISFAHANI


Address: 12555 Garden Grove Blvd Ste 102, Garden Grove, CA 92843-1903
Phone: 7146360593

SEID AMIR FARZAN TAVAKKOLI ISFAHANI (NPI# 1255826665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255826665
Entity Type Individual
Full Name SEID AMIR FARZAN TAVAKKOLI ISFAHANI
Credential PHARMD
Practice Address 12555 Garden Grove Blvd Ste 102
Garden Grove
CA 92843-1903
Practice Telephone 7146360593
Practice Fax Number 7146367708
Mailing Telephone 7146360593
Mailing Fax Number 7146367708
Enumeration Date 2018-06-27
Last Update Date 2018-06-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 72910 CA Pharmacy Service Providers

Office Location

Street Address 12555 GARDEN GROVE BLVD STE 102
City GARDEN GROVE
State CA
Zip Code 92843-1903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033744230 Socal Pharmacy Inc. Pharmacy 12555 Garden Grove Blvd Ste 102, Garden Grove, CA 92843-1903 2020-03-08
1295210722 Socal Pharmacy Inc Pharmacy 12555 Garden Grove Blvd Ste 102, Garden Grove, CA 92843-1903 2018-10-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346759024 Elite Wellness Chiropractic Center Clinic/Center 13125 Brookhurst St, Garden Grove, CA 92843 2017-09-25
1407375520 Leontina Balos Assisted Living Facility 10452 Mildred Avenue, Garden Grove, CA 92843 2017-09-11
1548788235 Lanson Tt Corp Pharmacy 14211 Euclid St Ste A, Garden Grove, CA 92843 2017-09-01
1598285512 Ernest Youngchan Rhee Acupuncturist 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 2017-06-21
1336681253 Shane Hiromu Koga Chiropractor 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 2016-11-09
1023461456 Kelly Chau Quach Counselor 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 2016-07-21
1922484385 Terry Chang Counselor 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 2015-08-07
1942687132 Sara Smith Counselor 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 2015-04-27
1063848232 Nexgen Chiropractic Inc Chiropractor 12832 Garden Grove Blvd A, Garden Grove, CA 92843 2013-09-19
1023369824 American Medical Diagnostic Lab Inc. Clinical Medical Laboratory 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 2012-09-20
Find all providers in zip 92843

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619583291 Long Tran Pharmacist 9904 13th St, Garden Grove, CA 92844-3149 2020-09-19
1568077030 Michael Vu Nguyen Pharmacist 11572 Faye Ave, Garden Grove, CA 92840-1903 2020-09-11
1558973693 Lam Huynh Pharmacist 8001 Chalet Ln, Garden Grove, CA 92841-4352 2020-08-19
1710596986 Jenny Diemmy Nguyen Pharmacist 13872 Harbor Blvd Ste 1a, Garden Grove, CA 92843-4000 2020-07-23
1629690094 Norberto J Rocha Pharmacist 13096 Blackbird St Spc 14, Garden Grove, CA 92843-2946 2020-05-08
1144851775 Diem Phuong Khuu Pharmacist 9572 Dewey Dr, Garden Grove, CA 92841-1312 2020-02-02
1144882705 Byung Jun Min Pharmacist 11000 Garden Grove Blvd Ste 201, Garden Grove, CA 92843-1206 2019-07-03
1356904742 Kevin Q Pham Pharmacist 13191 Hilton Ln, Garden Grove, CA 92843-2222 2019-04-21
1144798091 An Chau Pharmacist 11562 Stanford Ave, Garden Grove, CA 92840-5433 2018-11-08
1780159285 Grace Myanh Tran Pharmacist 9721 Sutherland Way, Garden Grove, CA 92844-3039 2018-10-10
Find all providers in GARDEN GROVE

Competitor

Search similar providers

City GARDEN GROVE
Zip Code 92843

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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