Healthcare Provider Details

I. General information

NPI: 1154649663
Provider Name (Legal Business Name): ZIN MAR THEIN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 SEPULVEDA BLVD
TORRANCE CA
90501-5301
US

IV. Provider business mailing address

3218 S MANITOBA DR
SANTA ANA CA
92704-6637
US

V. Phone/Fax

Practice location:
  • Phone: 310-325-0868
  • Fax:
Mailing address:
  • Phone: 714-933-8371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 62895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: