Healthcare Provider Details

I. General information

NPI: 1922489178
Provider Name (Legal Business Name): CHRISTINA CHAU PHARMD, BCPS, APH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2015
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 E 120TH ST
LOS ANGELES CA
90059-3026
US

IV. Provider business mailing address

1670 E 120TH ST
LOS ANGELES CA
90059-3026
US

V. Phone/Fax

Practice location:
  • Phone: 424-338-1000
  • Fax: 310-223-0663
Mailing address:
  • Phone: 424-338-1000
  • Fax: 310-223-0663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberI011046
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number78304
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS022153
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number10988
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: