Al-Agha, Ousama

Al-Agha, Ousama is an sole proprietor health care provider with primary practice located at 11350 Trillium Way , San Diego CA 92131-2935. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Al-Agha, Ousama can be contacted via phone (858) 271-8855.

Contact Information

Primary practice address
11350 Trillium Way San Diego CA 92131-2935
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 45210 California

Profile Details

NPI number 1265783377
LBN Legal business name Al-Agha, Ousama
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2012
Last updated Sep 28th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265783377 NPPES
California MEDICAID 1410

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