Rouzitalab, Gholam Reza
Rouzitalab, Gholam Reza is an sole proprietor health care provider with primary practice located at 14837 Pomerado Rd , Poway CA 92064-2803. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Rouzitalab, Gholam Reza can be contacted via phone (714) 900-0672.Contact Information
Primary practice address
14837 Pomerado Rd
Poway CA 92064-2803
Phone: (714) 900-0672
Fax: (858) 842-4257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 11626 | Nevada |
| Pharmacy Service Providers / Pharmacist | 183500000X | 46548 | California |
Profile Details
| NPI number | 1154570463 |
|---|---|
| LBN Legal business name | Rouzitalab, Gholam Reza |
| Credentials | PHARM.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154570463 | NPPES |
| California | Other | 1831613793 | NPPES |
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