Patti L. Bruha, R.PH.
Individual provider Active NPI Pharmacist · La Mirada, CA
NPI 1891014940 · NPPES record last updated May 27, 2010
Key facts
- NPI
- 1891014940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PHA30550 (CA)
- Practice address
- 15800 Imperial Hwy
La Mirada, CA 90638-2512 - Phone
- (562) 902-0920
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA30550 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA30550 | CA | Yes |
| Pharmacist | 183500000X | 8630 | WI |
Addresses
Primary practice location
15800 Imperial Hwy
La Mirada, CA 90638-2512
Mailing address
15800 Imperial Hwy
La Mirada, CA 90638-2512
Phone (562) 902-0920
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2010. 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.