Healthcare Provider Details

I. General information

NPI: 1447533096
Provider Name (Legal Business Name): DORCAS DOR-JIA HUANG PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2976 SEPULVEDA BLVD
TORRANCE CA
90505-2804
US

IV. Provider business mailing address

2300 MAPLE AVE UNIT 10
TORRANCE CA
90503-7146
US

V. Phone/Fax

Practice location:
  • Phone: 310-534-0078
  • Fax: 310-534-0119
Mailing address:
  • Phone: 310-320-6374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50323
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: