<Unavail>
LBN: Hasendra Shah
<Unavail> is an health care organization with primary practice located at 1777 N Bellflower Blvd #113, Long Beach CA 90815-4013. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hasendra Shah can be contacted via phone (562) 597-2160, or through Shah, Hasendra via phone (562) 597-2160.
Contact Information
Primary practice address
1777 N Bellflower Blvd #113
Long Beach CA 90815-4013
Phone: (562) 597-2160
Fax: (562) 597-0648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHY40629 | California |
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH32826 | California |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHY406290 | California |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0888600001 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY40629 | California |
Profile Details
| NPI number | 1700875424 |
|---|---|
| LBN Legal business name | Hasendra Shah |
| DBA Doing business as | <Unavail> |
| Authorized official | Shah, Hasendra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 7th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700875424 | NPPES |
| California | MEDICAID | PHA406290 | |
| California | Other | 0593500 |
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