Mariam Abdeali, PHARMACIST
Individual provider Active NPI Pharmacist · Laguna Niguel, CA
NPI 1821301847 · NPPES record last updated Jul 19, 2010
Key facts
- NPI
- 1821301847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 40955 (CA)
- Practice address
- 30222 Crown Valley Pkwy
Laguna Niguel, CA 92677-2332 - Phone
- (949) 495-5823
- NPI assigned
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40955 | CO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40955 | CA | Yes |
| Pharmacist | 183500000X | 40955 | CO |
Addresses
Primary practice location
30222 Crown Valley Pkwy
Laguna Niguel, CA 92677-2332
Mailing address
22371 Ridgebrook
Mission Viejo, CA 92692-4529
Phone (949) 595-0272
Other providers in Laguna Niguel, CA
- 100 Chiropractic Grant LN Inc
- 360 Recovery Inc
- A Better Life Recovery LLC
- A.Soliman,D.D.S.,Inc.
- Aaa Hearing Services, Inc
- Jennah Hazem Abdellatif
- Michael Abdou
- Mohammad Nazih Abdulkader
- Abeo Health
- Fadia Aboraid
All providers in Laguna Niguel, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.