Organization
HYGIEIA HEALTHCARE INC
Active
Other names
Los Alamitos Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHYUT GIRISH JANI (PHARMACIST IN CHARGE)
(714) 604-6630
Entity
Organization
Contact information
Practice address
3801 KATELLA AVE STE 120, LOS ALAMITOS, CA 90720-3360
(562) 431-2505
(562) 596-6226
Mailing address
3801 KATELLA AVE STE 120, LOS ALAMITOS, CA 90720-3360
(562) 431-2505
(562) 596-6226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY36244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710097175
—
CA
Enumeration date
08/30/2006
Last updated
08/06/2022
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