Provider Demographics
NPI:1396031712
Name:MALIKSI, RAMESES JAMES (PHARM D)
Entity Type:Individual
Prefix:
First Name:RAMESES
Middle Name:JAMES
Last Name:MALIKSI
Suffix:
Gender:M
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 1:1000 W IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6901
Mailing Address - Country:US
Mailing Address - Phone:714-459-6035
Mailing Address - Fax:
Practice Address - Street 1:1000 W IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6901
Practice Address - Country:US
Practice Address - Phone:714-459-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist