MEDICARE: JOSEPH ANGELO LIM TIONGSON PHARMD, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	79387	CA

General Provider Information

NPI Number	:	1568276665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ANGELO LIM TIONGSON PHARMD, MBA

Provider Business Mailing Address
First Line	:	2669 W SERENO PL
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-2018
Country	:	US
Telephone Number	:	714-262-2035
Fax Number	:

Provider Business Practice Location Address
First Line	:	2669 W SERENO PL
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-2018
Country	:	US
Telephone Number	:	714-262-2035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	02/07/2025

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