SUSAN MIKHAELA JALALIAN


Address: 2914 Sandra Pl, Palo Alto, CA 94303-4015
Phone: 6502197697

SUSAN MIKHAELA JALALIAN (NPI# 1366601577) 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) 1366601577
Entity Type Individual
Full Name SUSAN MIKHAELA JALALIAN
Practice Address 2914 Sandra Pl
Palo Alto
CA 94303-4015
Practice Telephone 6502197697
Practice Fax Number 6502519298
Mailing Telephone 6502197697
Mailing Fax Number 6502519298
Enumeration Date 2008-06-03
Last Update Date 2008-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
41577 CA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PHARMACIST LICENSE NBR 41577 01

Office Location

Street Address 2914 SANDRA PL
City PALO ALTO
State CA
Zip Code 94303-4015

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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

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1457724932 Kaveh Barjesteh Pharmacist 255 Village Run E, Encinitas, CA 92024-3045 2015-11-05
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Competitor

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City PALO ALTO
Zip Code 94303

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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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