Manar Alas
Individual provider Active NPI Pharmacist · Lake Forest, CA
NPI 1992362909 · NPPES record last updated May 24, 2019
Key facts
- NPI
- 1992362909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 64097 (CA)
- Practice address
- 21761 Lake Forest Dr
Lake Forest, CA 92630-2784 - Phone
- (949) 855-8307
- NPI assigned
- May 24, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64097 | CA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64097 | CA | Yes |
Addresses
Primary practice location
21761 Lake Forest Dr
Lake Forest, CA 92630-2784
Mailing address
21761 Lake Forest Dr
Lake Forest, CA 92630-2784
Phone (949) 855-8307
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2019. 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.