Individual
BAILEY POL TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
520 MORRIS PL, MONTEBELLO, CA 90640-2338
(626) 818-4496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH90506
CA
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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