IV League, Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

PHY45770 Issued in CA

Legal business name

IV LEAGUE, INC

Practice address

6076 Bristol Parkway
#104
Culver City, CA 90230-8802

Phone

(310) 645-1500

Fax

(310) 645-6464

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Farzin Khalkhali, PHD

Title

President

Phone

(310) 645-1500

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan N Nguyen, RPH

  • Pharmacist
  • Culver City, CA
  • NPI 1003612672
  NPD (past)
• Angela Shin

  • Pharmacist
  • Culver City, CA
  • NPI 1093661944
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1831241033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341890",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900348802",
            "telephone_number": "310-645-1500",
            "fax_number": "310-645-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6076 BRISTOL PARKWAY",
            "address_2": "#104",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308802",
            "telephone_number": "310-645-1500",
            "fax_number": "310-645-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV LEAGUE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "KHALKHALI",
        "authorized_official_first_name": "FARZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-645-1500",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY45770",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY45770",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY45770",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY45770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHY45770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA457700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armando Isais-Garcia
• Isam Mawas MD Inc
• Eric Ishibashi, O.D.
• Amy Iskander, LMFT
• Nadhiya Ito, M.A., CCC-SLP
• Ivl Infusion Center Inc
• Kelley Elizabeth Chanel Ivy
• Kathy Iwasaki
• Chukwuma Samuel Iweka
• Samantha Izaguirre

• Home Infusion Therapy Pharmacy in Culver City, CA
• Providers in Culver City, CA by specialty
• Home Infusion Therapy Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.