Healthcare Provider Details

I. General information

NPI: 1508794843
Provider Name (Legal Business Name): DAVID LEON PRELLER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 RESEDA BLVD
NORTHRIDGE CA
91324-3142
US

IV. Provider business mailing address

24500 CAMINO RUEDA
VALENCIA CA
91354-1659
US

V. Phone/Fax

Practice location:
  • Phone: 818-701-7777
  • Fax:
Mailing address:
  • Phone: 818-298-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: