Provider Demographics
NPI:1952147977
Name:LAGUNA RX CORP
Entity type:Organization
Organization Name:LAGUNA RX CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-216-4101
Mailing Address - Street 1:23016 LAKE FOREST DR STE E
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1324
Mailing Address - Country:US
Mailing Address - Phone:949-600-8882
Mailing Address - Fax:
Practice Address - Street 1:23016 LAKE FOREST DR STE E
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1324
Practice Address - Country:US
Practice Address - Phone:949-600-8882
Practice Address - Fax:949-607-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy