Provider Demographics
NPI:1902135809
Name:MALIK, MASOOD PARVEZ (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:MASOOD
Middle Name:PARVEZ
Last Name:MALIK
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 1:22633 SAVI RANCH PKWY
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4647
Mailing Address - Country:US
Mailing Address - Phone:714-279-1580
Mailing Address - Fax:714-279-1585
Practice Address - Street 1:22633 SAVI RANCH PKWY
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4647
Practice Address - Country:US
Practice Address - Phone:714-279-1580
Practice Address - Fax:714-279-1585
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376161835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist