Provider Demographics
NPI:1770769267
Name:GINDI, MAGED (RPH)
Entity type:Individual
Prefix:MR
First Name:MAGED
Middle Name:
Last Name:GINDI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:GINDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:837 W ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-5413
Mailing Address - Country:US
Mailing Address - Phone:909-973-2896
Mailing Address - Fax:626-962-1157
Practice Address - Street 1:837 W ARROW HWY
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5413
Practice Address - Country:US
Practice Address - Phone:626-962-1061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA50900OtherPHARMACIST LICENSE #