Healthcare Provider Details

I. General information

NPI: 1386451557
Provider Name (Legal Business Name): TRISHA ANGELINE CLARET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 WILSHIRE BLVD STE 320
LOS ANGELES CA
90036-3686
US

IV. Provider business mailing address

5757 WILSHIRE BLVD STE 320
LOS ANGELES CA
90036-3686
US

V. Phone/Fax

Practice location:
  • Phone: 310-935-1899
  • Fax: 310-691-1731
Mailing address:
  • Phone: 310-935-1899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90561
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: