Perla Anai Aispuro Vidana
Individual provider Active NPI Pharmacist · Inglewood, CA
NPI 1508601006 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1508601006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 89414 (CA)
- Practice address
- 4345 W Century Blvd
Inglewood, CA 90304-1519 - Phone
- (310) 672-6078
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past |
Accepting new patients | |
| Garfield Beach CVS LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89414 | CA | Yes |
Addresses
Primary practice location
4345 W Century Blvd
Inglewood, CA 90304-1519
Mailing address
1940 Orchard Ave
Los Angeles, CA 90007-1227
Phone (818) 573-8789
Other providers in Inglewood, CA
- Airport Marina Physical Therapy Inc
- Airport Urgent Care & Industrial Medicine a Professional Corporati
- Airport Urgent Care & Industrial Medicine, a Professional Corporation
- Airport Urgent Care Endoscopy Center
- Airport Urgent Care Surgery Center
- Aiva Health Services
- Adekunle Bukola Ajayi
- Adegboyega Akintunde Akinsanya
- Marine Akopyan
- Chidera Isabella Akpudiogwu IV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. 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.