Provider Demographics
NPI:1992920383
Name:PLAZA HOME CARE PHARMACY INC
Entity type:Organization
Organization Name:PLAZA HOME CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FARIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIROZEH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:626-585-8521
Mailing Address - Street 1:900 S. ARROYO PARKWAY
Mailing Address - Street 2:SUIT 150
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105
Mailing Address - Country:US
Mailing Address - Phone:626-585-8521
Mailing Address - Fax:
Practice Address - Street 1:900 S. ARROYO PARKWAY
Practice Address - Street 2:SUIT 150
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105
Practice Address - Country:US
Practice Address - Phone:626-585-8521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA419890Medicaid
CAPHA419890Medicaid
CA1154900001Medicare NSC