Mona Abdollahi Lakelayeh, RPH
Individual provider Active NPI Pharmacist · La Jolla, CA
NPI 1821445313 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1821445313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 74344 (CA)
- Practice address
- 8657 Villa la Jolla Dr
La Jolla, CA 92037-2356 - Phone
- (858) 597-0108
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74344 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74344 | CA | Yes |
Addresses
Primary practice location
8657 Villa la Jolla Dr
La Jolla, CA 92037-2356
Mailing address
3899 Nobel Dr Apt 1210
San Diego, CA 92122-5764
Phone (949) 354-7914
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. 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.