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Lauren Elaina-Emad Bolous

NPI 1417837022ActiveIndividual· Pharmacist· Fontana, CA

Pharmacist in Fontana, California, licensed in CA, with an NPI issued in September 2025.

Overview

NPI1417837022
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 4, 2025
Last updated in NPPESSep 4, 2025
Certified by providerSep 4, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X91251CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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