Provider Demographics
NPI:1962683078
Name:KARANDISH, ALI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:KARANDISH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 SAVIERS RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-5312
Mailing Address - Country:US
Mailing Address - Phone:805-486-2678
Mailing Address - Fax:805-486-6986
Practice Address - Street 1:3001 SAVIERS RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-5312
Practice Address - Country:US
Practice Address - Phone:805-486-2678
Practice Address - Fax:805-486-6986
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00053619183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist