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NPI Code Detail

MEDICARE: CECILIA DIMING WU PHARM D

MEDICARE: CECILIA DIMING WU PHARM D
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist57383CA
21835P2201XAmbulatory Care Pharmacist57383CA
3183500000XPharmacist57383CA

General Provider Information

NPI Number : 1295919090
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA DIMING WU PHARM D
Provider Business Mailing Address
First Line : 4448 YORK BLVD.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-3328
Country : US
Telephone Number : 323-702-4856
Fax Number : 323-344-5237
Provider Business Practice Location Address
First Line : 4448 YORK BLVD.
Second Line :
City : LOS ANGELES
State : CA
Zip : 90041-3328
Country : US
Telephone Number : 323-702-4856
Fax Number : 323-344-5237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2007
Last Update Date : 05/09/2022

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