Individual provider · NPI-1

Perla Anai Aispuro Vidana

Pharmacist · Inglewood, CA

NPI number1508601006
StatusActive
Last updated in NPPESJun 26, 2024

Details

NPI
1508601006
Entity type
Individual (NPI-1)
Name
Perla Anai Aispuro Vidana
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 26, 2024
Certification date
Jun 26, 2024
Last updated
Jun 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist89414CAYes

Practice location

4345 W Century Blvd
Inglewood, CA 90304-1519

Phone 310-672-6078

Mailing address

1940 Orchard Ave
Los Angeles, CA 90007-1227

Phone 818-573-8789

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