Healthcare Provider Details

I. General information

NPI: 1326764978
Provider Name (Legal Business Name): KAREN MAI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7859 FIRESTONE BLVD
DOWNEY CA
90241-4220
US

IV. Provider business mailing address

7859 FIRESTONE BLVD
DOWNEY CA
90241-4220
US

V. Phone/Fax

Practice location:
  • Phone: 562-869-8890
  • Fax:
Mailing address:
  • Phone: 562-869-8890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number87001
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: