Healthcare Provider Details

I. General information

NPI: 1649195728
Provider Name (Legal Business Name): LILIUM HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3948 N PECK RD A1-2
EL MONTE CA
91732-2255
US

IV. Provider business mailing address

3948 N PECK RD A1-2
EL MONTE CA
91732-2255
US

V. Phone/Fax

Practice location:
  • Phone: 626-448-2507
  • Fax: 626-448-2576
Mailing address:
  • Phone: 626-448-2507
  • Fax: 626-448-2576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LILIA XU
Title or Position: PHARMACY ADMINISTRATOR
Credential:
Phone: 626-448-2507