Brentwood Plaza Pharmacy
LBN: Colfax Pharmaceutical Inc
Brentwood Plaza Pharmacy is an health care organization with primary practice located at 11980 San Vicente Blvd Ste 104, Los Angeles CA 90049-5012. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Colfax Pharmaceutical Inc can be contacted via phone (310) 820-1496, or through Tehrani, Ben via phone (310) 820-1496.
Contact Information
Primary practice address
11980 San Vicente Blvd Ste 104
Los Angeles CA 90049-5012
Phone: (310) 820-1496
Fax: (310) 820-4186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 51494 | California |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1336247360 |
|---|---|
| LBN Legal business name | Colfax Pharmaceutical Inc |
| DBA Doing business as | Brentwood Plaza Pharmacy |
| Authorized official | Tehrani, Ben PHARM. D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 28th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336247360 | NPPES |
| California | MEDICAID | 1336247360 | |
| California | Other | 2141894 |
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