Healthcare Provider Details

I. General information

NPI: 1811823065
Provider Name (Legal Business Name): LANA PUN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 EL CAMINO REAL
PALO ALTO CA
94301-2302
US

IV. Provider business mailing address

250 MAGNOLIA AVE
MILLBRAE CA
94030-2527
US

V. Phone/Fax

Practice location:
  • Phone: 650-934-7150
  • Fax:
Mailing address:
  • Phone: 650-934-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH44356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: