# ILLUMINATE HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215769609
- **Authorized official:** LILIA XU (PHARMACIST IN CHARGE)
- **Authorized official phone:** (626) 522-1013

## Contact information

- **Practice address:** 3948 PECK RD \# A9, EL MONTE, CA 91732-2255
- **Practice address phone:** (626) 522-1013
- **Practice address fax:** (626) 995-1550
- **Mailing address:** 3948 PECK RD \# A9, EL MONTE, CA 91732-2255
- **Mailing address phone:** (626) 522-1013
- **Mailing address fax:** (626) 995-1550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/15/2024
