Active NPI
Candace Lee
- Pharmacy Technician
- Tarzana, CA
National Provider Identifier
1700028313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TCH 65719
- Practice address
- 18356 Oxnard St Ste 1
Tarzana, CA 91356-6706 - Phone
- (818) 343-3443
- NPI assigned
- Mar 27, 2009
- Last updated
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH 65719 | CA | Primary |
Addresses
Primary practice location
18356 Oxnard St Ste 1
Tarzana, CA 91356-6706
Mailing address
520 Avenue G Apt 7
Redondo Beach, CA 90277-6063
Phone (310) 540-5469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCH 65719 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belmark Inc | Past | Accepting new patients | |
| Medrx Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1700028313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 AVENUE G APT 7",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776063",
"telephone_number": "310-540-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18356 OXNARD ST STE 1",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566706",
"telephone_number": "818-343-3443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CANDACE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "TCH 65719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.