Provider Demographics
NPI:1447530993
Name:TORBATI, DANIEL FARNAM (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FARNAM
Last Name:TORBATI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2693 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2034
Mailing Address - Country:US
Mailing Address - Phone:510-330-4906
Mailing Address - Fax:510-330-4902
Practice Address - Street 1:2693 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2034
Practice Address - Country:US
Practice Address - Phone:510-330-4906
Practice Address - Fax:510-330-4902
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37889183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist