Healthcare Provider Details

I. General information

NPI: 1851777882
Provider Name (Legal Business Name): BIN DENG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14624 SHERMAN WAY STE 600
VAN NUYS CA
91405-2289
US

IV. Provider business mailing address

8540 CAVA DR
RANCHO CUCAMONGA CA
91730-8717
US

V. Phone/Fax

Practice location:
  • Phone: 818-988-6335
  • Fax:
Mailing address:
  • Phone: 818-331-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number71460
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number71460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: