Healthcare Provider Details

I. General information

NPI: 1922645944
Provider Name (Legal Business Name): CHRISTINA LI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18649 VIA PRINCESSA
SANTA CLARITA CA
91387-4935
US

IV. Provider business mailing address

1206 WALNUT ST
SAN GABRIEL CA
91776-3330
US

V. Phone/Fax

Practice location:
  • Phone: 661-250-2845
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number81458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: