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General NPI Number Information
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NPI Number | 1205748464
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Entity Type | Individual
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Provider Name | MICHAEL WAN HUA OUYANG
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Gender | Male
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 8405 BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90048-3401
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Country | US
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Telephone | 323-653-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 AVIATION BLVD APT 38
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City | REDONDO BEACH
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State | CA
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Zip | 90278-2843
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Country | US
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Telephone | 415-336-2032
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 91606
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License Number State | CA
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