Healthcare Provider Details

I. General information

NPI: 1528901972
Provider Name (Legal Business Name): XJX SPECIALTY PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10780 SANTA MONICA BLVD STE 101
LOS ANGELES CA
90025-7656
US

IV. Provider business mailing address

10780 SANTA MONICA BLVD STE 101
LOS ANGELES CA
90025-7656
US

V. Phone/Fax

Practice location:
  • Phone: 323-312-9339
  • Fax:
Mailing address:
  • Phone: 323-312-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: XIN LI
Title or Position: PHARMACIST IN CHARGE
Credential: PHARMD
Phone: 323-312-9339