Provider Demographics
NPI:1326381435
Name:ATIYA, SAWSAN ISMAIL (PHARM-D)
Entity Type:Individual
Prefix:MRS
First Name:SAWSAN
Middle Name:ISMAIL
Last Name:ATIYA
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32605 TEMECULA PKWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6837
Mailing Address - Country:US
Mailing Address - Phone:951-302-4903
Mailing Address - Fax:951-302-4904
Practice Address - Street 1:1270 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3312
Practice Address - Country:US
Practice Address - Phone:619-501-5888
Practice Address - Fax:619-501-6888
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist