Healthcare Provider Details

I. General information

NPI: 1982207759
Provider Name (Legal Business Name): CINDY YIU-CIN LUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY LUI

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7039 VALJEAN AVE
VAN NUYS CA
91406-3915
US

IV. Provider business mailing address

5262 BARCELONA CIR
LA PALMA CA
90623-1103
US

V. Phone/Fax

Practice location:
  • Phone: 818-390-9696
  • Fax:
Mailing address:
  • Phone: 714-322-3377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH66715
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH66715
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: