LOLA BAE (NPI# 1336756063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336756063 |
| Entity Type | Individual |
| Full Name | LOLA BAE |
| Practice Address |
2731 Williamsburg Rd Fullerton CA 92833-1423 |
| Mailing Address |
2731 Williamsburg Rd Fullerton CA 92833 |
| Practice Telephone | 7147262860 |
| Mailing Telephone | 7147262860 |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 83345 | CA | Pharmacy Service Providers |
| Street Address |
2731 WILLIAMSBURG RD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003968 | Minh Hoang Trinh | Pharmacist | 1301 S Jefferson Ave, Fullerton, CA 92832-3119 | 2020-01-27 |
| 1568015675 | Jennifer Kang | Pharmacist | 717 Carhart Ave Apt B2, Fullerton, CA 92833-2300 | 2019-07-17 |
| 1851869713 | Mahesh Bhimabhai Patel | Pharmacist | 2128 Somerset Ln, Fullerton, CA 92833-5201 | 2018-11-08 |
| 1306341896 | Nhu Quyen Dau | Pharmacist | 2575 Yorba Linda Blvd Bldg Room248, Fullerton, CA 92831-1615 | 2018-03-27 |
| 1225547714 | Kajal Patel | Pharmacist | 2001 Calle Miranda, Fullerton, CA 92833-1828 | 2017-09-27 |
| 1598206997 | Michael Adeleke | Pharmacist | 2434 Tuscany Way, Fullerton, CA 92835-4208 | 2017-03-17 |
| 1265973861 | Brian T Pak | Pharmacist | 2279 Shapiro St, Fullerton, CA 92833-2145 | 2017-03-15 |
| 1609327097 | Amanda Wong | Pharmacist | 2068 Perkins St, Fullerton, CA 92833-5071 | 2016-10-20 |
| 1477908929 | Han Ngo | Pharmacist | 2151 N Harbor Blvd Ste 2200, Fullerton, CA 92835-3825 | 2016-05-03 |
| 1245692573 | Yoojin Lee | Pharmacist | 3062 Muir Trail Dr, Fullerton, CA 92833-5520 | 2016-03-25 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.