Provider Demographics
NPI:1659985471
Name:REFUA, SINA MORDECHAI (PHARMD, BCNSP)
Entity Type:Individual
Prefix:
First Name:SINA
Middle Name:MORDECHAI
Last Name:REFUA
Suffix:
Gender:M
Credentials:PHARMD, BCNSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19500 NORMANDIE AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1108
Mailing Address - Country:US
Mailing Address - Phone:866-365-2525
Mailing Address - Fax:866-383-2525
Practice Address - Street 1:19500 NORMANDIE AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1108
Practice Address - Country:US
Practice Address - Phone:866-365-2525
Practice Address - Fax:866-383-2525
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH64889183500000X, 1835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No183500000XPharmacy Service ProvidersPharmacist