Healthcare Provider Details

I. General information

NPI: 1306672134
Provider Name (Legal Business Name): LAI C SAECHAO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3240 ARDEN WAY
SACRAMENTO CA
95825-2015
US

IV. Provider business mailing address

6625 GALLOWAY WAY
ELK GROVE CA
95758-6362
US

V. Phone/Fax

Practice location:
  • Phone: 916-200-8585
  • Fax:
Mailing address:
  • Phone: 916-897-7593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH89957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: