Organization
LOS ANGELES CHRISTIAN HEALTH CENTERS
Active
Organization
LOS ANGELES CHRISTIAN HEALTH CENTERS
Active
Other names
Pico Aliso Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BETTINA LEWIS (COO)
(213) 893-1960
Entity
Organization
Contact information
Practice address
1625 E 4TH ST, LOS ANGELES, CA 90033-4201
(323) 268-8391
(858) 633-4702
Mailing address
1625 E 4TH ST, LOS ANGELES, CA 90033-4201
(323) 268-8391
(858) 633-4702
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770855132
—
CA
01
—
2134659
PK
—
Enumeration date
02/01/2012
Last updated
05/07/2021
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