Healthcare Provider Details

I. General information

NPI: 1235520537
Provider Name (Legal Business Name): CHRISTINE HUANG PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2015
Last Update Date: 02/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 E FOOTHILL BLVD
PASADENA CA
91107-3121
US

IV. Provider business mailing address

3601 E FOOTHILL BLVD
PASADENA CA
91107-3121
US

V. Phone/Fax

Practice location:
  • Phone: 626-215-2823
  • Fax:
Mailing address:
  • Phone: 626-215-2823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH47479
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: