Individual
ANGELA VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(213) 738-4725
(213) 637-2550
Mailing address
550 S VERMONT AVE STE 903, LOS ANGELES, CA 90020-1912
(213) 738-4725
(213) 637-2550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
71521
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10592
CA
1835P2201X
Ambulatory Care Pharmacist
10592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APH10592
CALIFORNIA STATE BOARD OF PHARMACY
CA
01
—
RPH71521
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
08/01/2018
Last updated
02/09/2021
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