Organization
COUNTY OF LOS ANGELES
Active
Other names
LOS ANGELES CO WILMINGTON HLTH CTR PHY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHEN PHARM. D. (ACTING CHIEF ADMINISTRATIVE OFFICER)
(562) 599-8723
Entity
Organization
Contact information
Practice address
1325 BROAD AVE, WILMINGTON, CA 90744-2604
(310) 518-8827
(310) 816-3002
Mailing address
1325 BROAD AVE, WILMINGTON, CA 90744-2604
(310) 518-8827
(310) 816-3002
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHE42177
CA
Other
Enumeration date
03/20/2007
Last updated
01/05/2024
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