Healthcare Provider Details

I. General information

NPI: 1427450147
Provider Name (Legal Business Name): KUN HUI LAI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 PANAMA RD
LAMONT CA
93241-1647
US

IV. Provider business mailing address

5108 SILVER CROSSING ST
BAKERSFIELD CA
93313-4120
US

V. Phone/Fax

Practice location:
  • Phone: 661-845-3551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number71446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: