Healthcare Provider Details

I. General information

NPI: 1831467083
Provider Name (Legal Business Name): LE HUA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 S SANTA FE AVE
VISTA CA
92084-6107
US

IV. Provider business mailing address

802 S SANTA FE AVE
VISTA CA
92084-6107
US

V. Phone/Fax

Practice location:
  • Phone: 760-724-3116
  • Fax: 760-724-3250
Mailing address:
  • Phone: 760-724-3116
  • Fax: 760-724-3250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number53990
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: