Vian Amer

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · La Mesa, CA

NPI 1972186609 · NPPES record last updated Apr 30, 2021

Key facts

NPI
1972186609
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
58188 (CA)
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone
(619) 740-6000
NPI assigned
Apr 30, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
58188CAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 58188 CA Yes

Addresses

Primary practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Mailing address

9959 Riverhead Dr
San Diego, CA 92129-3225
Phone (858) 774-8373

Other providers in La Mesa, CA

All providers in La Mesa, CA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

Sources for this page

Verify at the official NPI Registry.