Fate Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FATE PHARMACY INC

Practice address

10200 Sepulveda Blvd Ste 250
Mission Hills, CA 91345-2690

Phone

(818) 927-1020

NPI assigned

Feb 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laila Amini

Title

Owner

Phone

(818) 927-1020

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1124882477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 250",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452690",
            "telephone_number": "818-927-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 250",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452690",
            "telephone_number": "818-927-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-927-1020"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Planning Associates Medical Group Inc
• Family Planning Associates Medical Group Inc
• Valerie K Fannin, L.C.S.W.
• Iman Faragalla
• Hany Farid, MD
• Maryam S Fazel, M.D.
• Arlene Feld, MFT
• Guangxiang (Grace) Feng, MASSAGE THERAPIST
• Kristian Caesar Batalla Fernandez, NP
• Therese Anne Villareal Fernandez, HEALTH COACH

• Long Term Care Pharmacy in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.