Provider Demographics
NPI:1972495083
Name:KASHOU, GELLAN (PHARMD)
Entity type:Individual
Prefix:
First Name:GELLAN
Middle Name:
Last Name:KASHOU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4552 VICTORIA CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3505
Mailing Address - Country:US
Mailing Address - Phone:714-869-6162
Mailing Address - Fax:
Practice Address - Street 1:17777 CENTER COURT DR N
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-9320
Practice Address - Country:US
Practice Address - Phone:877-577-4844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA801351835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist