=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740558659
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANCES C HUANG RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2011
-----------------------------------------------------
Last Update Date | 12/06/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1932 WILSHIRE BLVD
-----------------------------------------------------
City | SANTA MONICA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90403-5606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-829-9264
-----------------------------------------------------
Fax | 310-829-7406
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4750 LINCOLN BLVD APT 1-227
-----------------------------------------------------
City | MARINA DEL REY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90292-6900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-552-3542
-----------------------------------------------------
Fax | 310-829-7406
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RPH45711
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------