Healthcare Provider Details

I. General information

NPI: 1821583055
Provider Name (Legal Business Name): JOSEPHINE CHI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 DE SOTO AVE
WOODLAND HILLS CA
91367-6701
US

IV. Provider business mailing address

7486 SILVER SADDLE CT
EASTVALE CA
92880-1053
US

V. Phone/Fax

Practice location:
  • Phone: 818-719-4685
  • Fax:
Mailing address:
  • Phone: 626-678-5234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77316
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: