Healthcare Provider Details

I. General information

NPI: 1467082016
Provider Name (Legal Business Name): ANTHONY THOMAS SENGUL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3734 HAMPSTEAD RD
LA CANADA FLINTRIDGE CA
91011-3911
US

IV. Provider business mailing address

3734 HAMPSTEAD RD
LA CANADA FLINTRIDGE CA
91011-3911
US

V. Phone/Fax

Practice location:
  • Phone: 818-306-7420
  • Fax:
Mailing address:
  • Phone: 818-306-7420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH85037
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: