Individual provider · NPI-1

Shaida Abbas, PharmD, APP

Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Costa Mesa, CA

NPI number1770051534
StatusActive
Last updated in NPPESApr 24, 2026

Details

NPI
1770051534
Entity type
Individual (NPI-1)
Name
Shaida Abbas
Credential
PharmD, APP
Sex
Male
Sole proprietor
No
Enumeration date
Nov 8, 2018
Certification date
Apr 24, 2026
Last updated
Apr 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist79870CAYes
1835G0303X Pharmacist, Geriatric79870CA
1835P1200X Pharmacist, Pharmacotherapy79870CA
1835C0207X Pharmacist, Compounded Sterile Preparations79870CA

Practice location

3303 Harbor Blvd Ste C1
Costa Mesa, CA 92626-1518

Phone 267-391-6764

Mailing address

3303 Harbor Blvd Ste C1
Costa Mesa, CA 92626-1518

Phone 949-996-4354

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