Sophia Chu
Individual provider Active NPI Pharmacist · Dana Point, CA
NPI 1023624632 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1023624632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 64416 (CA)
- Practice address
- 32900 Pacific Coast Hwy
Dana Point, CA 92629-3464 - Phone
- (949) 489-9030
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64416 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past |
Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64416 | CA | Yes |
Addresses
Primary practice location
32900 Pacific Coast Hwy
Dana Point, CA 92629-3464
Mailing address
32900 Pacific Coast Hwy
Dana Point, CA 92629-3464
Phone (626) 429-8999
Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.