COLFAX PHARMACEUTICAL INC (NPI# 1336247360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336247360 |
| Entity Type | Organization |
| Organization Name | COLFAX PHARMACEUTICAL INC |
| Other Organization Name | BRENTWOOD PLAZA PHARMACY |
| Practice Address |
11980 San Vicente Blvd Ste 104 Los Angeles CA 90049-5012 |
| Practice Telephone | 3108201496 |
| Practice Fax Number | 3108204186 |
| Mailing Telephone | 3108201496 |
| Mailing Fax Number | 3108204186 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | BEN TEHRANI (CEO/PIC) |
| Authorized Official Telephone | 3108201496 |
| Authorized Official Credential | PHARM. D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
51494 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2141894 | 01 | |
| CA | 1336247360 | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood Plaza Pharmacy | Doing Business As Name - Organization |
| Street Address |
11980 SAN VICENTE BLVD STE 104 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785806 | Nicholas A Yankopoulos | Internal Medicine | 11980 San Vicente Blvd, Suite 906, Los Angeles, CA 90049-5012 | 2005-07-29 |
| 1114463395 | Kevin Barrett Dds Inc | Dentist | 11980 San Vicente Blvd, Suite 802, Los Angeles, CA 90049-5012 | 2017-01-12 |
| 1497209183 | Nima Astaraee | Dentist | 11980 San Vicente Blvd, Los Angeles, CA 90049 | 2016-08-10 |
| 1417304197 | Stuart Alan Ende | Psychoanalyst | 11980 San Vicente Blvd, Suite 910, Los Angeles, CA 90049-5012 | 2016-05-23 |
| 1215391289 | Tmj & Sleep Therapy Centre of Los Angeles | Dentist | 11980 San Vicente Blvd, Suite 619, Los Angeles, CA 90049-5012 | 2016-04-06 |
| 1063873131 | Alan Spivak | Psychologist | 11980 San Vicente Blvd, Ste 712, Los Angeles, CA 90049-5012 | 2016-03-16 |
| 1265807465 | Kathy K Barrett, Ma, Marriage & Family Therapist, Apc | Marriage & Family Therapist | 11980 San Vicente Blvd, Suite 809, Los Angeles, CA 90049-5012 | 2015-12-14 |
| 1013381417 | Jessica Sanchez | Marriage & Family Therapist | 11980 San Vicente Blvd, Suite 909, Los Angeles, CA 90049-5012 | 2015-11-23 |
| 1821498635 | Brentwood Orthopedic & Spine Surgery | Clinic/Center | 11980 San Vicente Blvd, Suite 110, Los Angeles, CA 90049-5012 | 2014-08-28 |
| 1346677341 | Candida Conder | Marriage & Family Therapist | 11980 San Vicente Blvd, Suite 612, Los Angeles, CA 90049-5012 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040836 | Cmc Enterprise, Inc. | Pharmacy | 2426 W 8th St Ste 112, Los Angeles, CA 90057-3840 | 2020-07-20 |
| 1538782230 | Altamed Health Services Corp | Pharmacy | 3945 Whittier Blvd Rm 100, Los Angeles, CA 90023-2440 | 2020-05-28 |
| 1184243602 | Dtla Rx Pharmacy Apc | Pharmacy | 1120 S Grand Ave Ste 103, Los Angeles, CA 90015-4677 | 2020-04-14 |
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1649807140 | Mixlab, Inc. | Pharmacy | 2223 Federal Ave, Los Angeles, CA 90064-1403 | 2020-03-25 |
| 1457985426 | Care Prescription Management | Pharmacy | 5757 Wilshire Blvd Ste 320, Los Angeles, CA 90036-3686 | 2020-02-27 |
| 1609409077 | Altamed Health Services Corp | Pharmacy | 2100 W 3rd St Ste 190, Los Angeles, CA 90057-1999 | 2020-02-13 |
| 1003448184 | Linco Pharmacy, Inc. | Pharmacy | 5755 W Adams Blvd, Los Angeles, CA 90016-2440 | 2020-02-06 |
| 1972149292 | Cedars-sinai Medical Care Foundation | Pharmacy | 11800 Wilshire Blvd Ste 202, Los Angeles, CA 90025-6602 | 2019-11-21 |
| 1659930089 | Jade Kalelei Wilia | Pharmacy | 1411 N Mansfield Ave Apt 9, Los Angeles, CA 90028-7676 | 2019-06-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on COLFAX PHARMACEUTICAL INC.
| 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.