Mohammad Adl, RPH
Individual provider Active NPI Pharmacist · Newport Beach, CA
NPI 1962098376 · NPPES record last updated Dec 19, 2020
Key facts
- NPI
- 1962098376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 83973 (CA)
- Practice address
- 4229 Birch St Ste 100
Newport Beach, CA 92660-1959 - Phone
- (949) 724-4000
- Fax
- (949) 679-1905
- NPI assigned
- Dec 19, 2020
- Sex
- Male
- Sole proprietor
- No
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sina Corporation | Past |
Accepting new patients | |
| Sina Corporation | Pharmacist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83973 | CA | Yes |
Addresses
Primary practice location
4229 Birch St Ste 100
Newport Beach, CA 92660-1959
Mailing address
4229 Birch St Ste 100
Newport Beach, CA 92660-1959
Phone (949) 724-4000
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- Emmanuel Justice Addo
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- Carl Matthew Adler
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All providers in Newport Beach, 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 Dec 19, 2020. 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.