Simon Nguyen Diep La

NPI #1285269324 in Lynwood, California

Provider Information

NPI Number: 1285269324
Entity Type: Individual
Name: Simon Nguyen Diep La
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 10, 2020
Last Updated: Mar 10, 2020

Practice Location

Address: 3800 MARTIN LUTHER KING JR BLVD
City: Lynwood
State: California
ZIP Code: 90262-3602
Phone: (310) 637-2509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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