MEDICARE: JIN HUANG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835C0205X	Critical Care Pharmacist	7152907	CA
2	1835P1200X	Pharmacotherapy Pharmacist	3161324	CA
3	183500000X	Pharmacist	RHP71025	CA

General Provider Information

NPI Number	:	1194590802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIN HUANG PHARMD

Provider Business Mailing Address
First Line	:	5238 PAL MAL AVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-3435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5238 PAL MAL AVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-3435
Country	:	US
Telephone Number	:	626-272-7335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	11/22/2023

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Directions to “ JIN HUANG PHARMD” Practice Location

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