IndividualActive
Abbas Ghodoumipour
NPI 1114372604 · Pharmacist · Lake Forest, CA
Provider details
- NPI number
- 1114372604
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 54336 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
24372 Rockfield Blvd
Lake Forest, CA 92630-4742
Phone: (949) 830-5090
Fax: (940) 830-9419
Approximate (ZIP-level) locationGet directions
Mailing address
24372 Rockfield Blvd
Lake Forest, CA 92630-4742
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.