Wyleen Ortiz Baldovino, PHARMD
Individual provider Active NPI Pharmacist · Baldwin Park, CA
NPI 1255978326 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1255978326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 80995 (CA)
- Practice address
- 14503 Ramona Blvd
Baldwin Park, CA 91706-3322 - Phone
- (626) 813-7622
- NPI assigned
- Dec 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past |
Accepting new patients | |
| Longs Drug Stores California LLC | Past |
Accepting new patients | |
| Longs Drug Store California LLC | Past |
Accepting new patients | |
| Garfield Beach CVS LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80995 | CA | Yes |
Addresses
Primary practice location
14503 Ramona Blvd
Baldwin Park, CA 91706-3322
Mailing address
14503 Ramona Blvd
Baldwin Park, CA 91706-3322
Phone (626) 813-7622
Other providers in Baldwin Park, CA
- Katherine Jean Baggs
- Felicia Bahadosingh
- Brenda R Bailey
- Nancy M. Baisch
- James E. Baker
- Baldwin Park Congregate Home Inc
- Baldwin Park Dental
- Baldwin Park Family Dental
- Baldwin Park Hospice Inc
- Baldwin Park Medical Center
All providers in Baldwin Park, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2021. 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.