Gorham, Stefan
Gorham, Stefan is an sole proprietor health care provider with primary practice located at 10889 Wellworth Ave , Los Angeles CA 90024-4918. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Gorham, Stefan can be contacted via phone (310) 474-2152.Contact Information
Primary practice address
10889 Wellworth Ave
Los Angeles CA 90024-4918
Phone: (310) 474-2152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 82818 | California |
Profile Details
| NPI number | 1568067361 |
|---|---|
| LBN Legal business name | Gorham, Stefan |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2020 |
| Last updated | Dec 1st, 2020 - about 4 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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