Healthcare Provider Details

I. General information

NPI: 1164332284
Provider Name (Legal Business Name): CECILIA PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9637 BOLSA AVE STE B
WESTMINSTER CA
92683-6697
US

IV. Provider business mailing address

9637 BOLSA AVE STE B
WESTMINSTER CA
92683-6697
US

V. Phone/Fax

Practice location:
  • Phone: 714-714-0099
  • Fax: 714-714-0030
Mailing address:
  • Phone: 714-714-0099
  • Fax: 714-714-0030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER HOANG
Title or Position: CEO
Credential:
Phone: 714-714-0099