Organization
ILLUMINATE HEALTH INC
Active
Organization
ILLUMINATE HEALTH INC
Active
Other names
Illuminate Health Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIA XU PHARM.D. (CEO)
(626) 522-1013
Entity
Organization
Contact information
Practice address
3948 PECK RD UNIT A9, EL MONTE, CA 91732-2255
(626) 522-1013
Mailing address
3948 PECK RD UNIT A9, EL MONTE, CA 91732-2255
(626) 522-1013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58704
PHARMACY LICENSE
CA
Enumeration date
05/11/2017
Last updated
06/21/2022
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