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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 72910 | CA | Pharmacy Service Providers |
| Street Address |
12555 GARDEN GROVE BLVD STE 102 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1903 |
| 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 |
| 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 Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| 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 | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on SEID AMIR FARZAN TAVAKKOLI ISFAHANI.
| 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.