Healthcare Provider Details

I. General information

NPI: 1467152447
Provider Name (Legal Business Name): CHRISTINA NAGANO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 PARKWAY DR STE 104
LA MESA CA
91942-1534
US

IV. Provider business mailing address

7200 PARKWAY DR STE 104
LA MESA CA
91942-1534
US

V. Phone/Fax

Practice location:
  • Phone: 619-303-3572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number87489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: