Healthcare Provider Details

I. General information

NPI: 1851674006
Provider Name (Legal Business Name): THUYVI HOANG CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2976 SEPULVEDA BLVD
TORRANCE CA
90505-2804
US

IV. Provider business mailing address

2976 SEPULVEDA BLVD
TORRANCE CA
90505-2804
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number65887
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: