Provider Demographics
NPI:1659360493
Name:DORF, SIMONA MIHAELA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SIMONA
Middle Name:MIHAELA
Last Name:DORF
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 PLATEAU DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-6622
Mailing Address - Country:US
Mailing Address - Phone:408-297-0581
Mailing Address - Fax:
Practice Address - Street 1:105 E EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1937
Practice Address - Country:US
Practice Address - Phone:209-269-2854
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist