Organization
COUNTY OF LOS ANGELES
Active
Other names
LOS ANGELES CO SAN FERNANDO PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GUTIERREZ (CHIEF PHARMACY OFFICER)
(213) 240-7717
Entity
Organization
Contact information
Practice address
1212 PICO ST, SAN FERNANDO, CA 91340-3503
(818) 837-6945
(818) 837-6952
Mailing address
313 N FIGUEROA ST STE 701, LOS ANGELES, CA 90012-2602
(213) 240-7717
(213) 975-9623
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHE44724
CA
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995684
PK
—
Enumeration date
06/08/2006
Last updated
01/05/2024
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