Healthcare Provider Details

I. General information

NPI: 1215668728
Provider Name (Legal Business Name): CAYLA TOSHIE MELIA TOKUNAGA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOAG DR
NEWPORT BEACH CA
92663-4162
US

IV. Provider business mailing address

7290 EDINGER AVE UNIT 2136
HUNTINGTON BEACH CA
92647-0927
US

V. Phone/Fax

Practice location:
  • Phone: 808-866-2626
  • Fax:
Mailing address:
  • Phone: 808-866-2626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number84913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: