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NPI 1053998690ActiveOrganization· Pharmacy· Los Angeles, CA
Pharmacy in Los Angeles, California, registered in NPPES in March 2021. The authorized official on file is Daniel Yagoubian, PHARM D., Ceo. Medicare paid $23,540 for services to 70 patients in 2024.
Overview
| NPI | 1053998690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2021 |
| Last updated in NPPES | Feb 29, 2024 |
| Certified by provider | Feb 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 270 across 7 procedure codes |
| Paid by Medicare | $23,540 |
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