Healthcare Provider Details

I. General information

NPI: 1770402729
Provider Name (Legal Business Name): VICTORIA SEA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E WILLOW ST
LONG BEACH CA
90806-2623
US

IV. Provider business mailing address

14924 BAYOU AVE
BELLFLOWER CA
90706-2846
US

V. Phone/Fax

Practice location:
  • Phone: 562-989-9868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92489
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: