Colfax Pharmaceutical INC
Pharmacy, Long Term Care Pharmacy in Los Angeles, CA. Organization (NPI-2).
Details
- NPI
- 1669265286
- Entity type
- Organization (NPI-2)
- Legal business name
- Colfax Pharmaceutical INC
- Organization subpart
- Yes
- Enumeration date
- May 27, 2025
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Other names
- Brentwood Plaza Pharmacy Ltc (Doing Business As)
Practice location
11980 San Vicente Blvd Ste 104Los Angeles, CA 90049-6602
Phone 310-820-1496 · Fax 310-820-4186
Mailing address
11980 San Vicente Blvd Ste 104Los Angeles, CA 90049-6602
Phone 310-820-1496 · Fax 310-820-4186
Authorized official
Benyamin Solaiman Tehrani
Pharmacy Manager
3108201496
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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