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NPI Code Detail

MEDICARE: AGATA HO

MEDICARE: AGATA HO
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
1183500000XPharmacist87179CA

General Provider Information

NPI Number : 1942919212
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGATA HO
Provider Business Mailing Address
First Line : 14361 PACIFIC AVE
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-4423
Country : US
Telephone Number : 714-464-9336
Fax Number :
Provider Business Practice Location Address
First Line : 1550 GATEWAY BLVD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6901
Country : US
Telephone Number : 707-427-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2022
Last Update Date : 03/16/2026

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Directions to “ AGATA HO ” Practice Location

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