Mauro Cal Med Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY39967 Issued in CA

Legal business name

MAURO CAL MED PHARMACY INC

Practice address

1414 S Grand Ave
Ste 101
Los Angeles, CA 90015-3067

Phone

(213) 746-4677

Fax

(213) 746-8796

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Ki Son

Title

Pharmacist

Phone

(213) 746-4677

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MAURO CAL MED PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1902962897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-746-4677",
            "fax_number": "213-746-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURO CAL MED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "SON",
        "authorized_official_first_name": "KI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "213-746-4677"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0540458",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA399670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAURO CAL MED PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maurice K. Masliah, DDS, a Professional Corporation
• Maurice Levy, M.D. Inc
• Xesenia Maurice
• Stephanie Cristal Mauricio
• Mahsa Mauriello
• Donald Lawrence Mauro, MFC
• Tara Mavadat, DDS
• Mary Maverick, OTR/L
• Mavida Care Group of California PC
• Christine Michelle Mavilian, MS

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.