Healthcare Provider Details

I. General information

NPI: 1235202615
Provider Name (Legal Business Name): LINDA TSUGAWA OGATA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BALDWIN PARK BLVD
BALDWIN PARK CA
91706-5806
US

IV. Provider business mailing address

9465 PENTLAND ST
TEMPLE CITY CA
91780-3843
US

V. Phone/Fax

Practice location:
  • Phone: 626-851-7001
  • Fax:
Mailing address:
  • Phone: 626-287-1550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH35909
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number07958
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: