Provider Demographics
NPI:1558195339
Name:AL-ANI, SAIF (PH)
Entity type:Individual
Prefix:
First Name:SAIF
Middle Name:
Last Name:AL-ANI
Suffix:
Gender:M
Credentials:PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6633 COYLE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-6346
Mailing Address - Country:US
Mailing Address - Phone:916-436-1234
Mailing Address - Fax:916-827-2524
Practice Address - Street 1:6633 COYLE AVE STE 1
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-6346
Practice Address - Country:US
Practice Address - Phone:916-436-1234
Practice Address - Fax:916-827-2524
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86154183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist