Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Fariborz David Massoudi

Individual provider Pharmacy · NPI 1487793741

Mr. Fariborz David Massoudi is a Pharmacy in San Pedro, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

891 W 9th St
San Pedro, CA 90731-3603
Phone: (310) 833-2575
Fax: (310) 832-2531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHY45471 (CA)
Long Term Care Pharmacy Taxonomy 3336L0003X · Licence PHY45471 (CA)

Record details

NPI number1487793741
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 8, 2016

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