LEILA WANG (NPI# 1588281059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588281059 |
| Entity Type | Individual |
| Full Name | LEILA WANG |
| Credential | PHARMD, RPH |
| Practice Address |
1745 S Imperial Ave El Centro CA 92243-4243 |
| Mailing Address |
208 Woodland Pkwy San Marcos CA 92069-6415 |
| Practice Telephone | 7603535130 |
| Mailing Telephone | 6466736968 |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 81709 | CA | Pharmacy Service Providers |
| Street Address |
1745 S IMPERIAL AVE |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621086 | Arlyn Ruth Duval | Nurse Practitioner | 1745 S Imperial Ave, El Centro, CA 92243-4243 | 2005-10-05 |
| 1821620212 | Amanda C Broedell | Pharmacist | 1745 S Imperial Ave, El Centro, CA 92243-4243 | 2020-02-04 |
| 1467820639 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1745 S Imperial Ave, El Centro, CA 92243-4243 | 2015-09-04 |
| 1043612013 | Avelina Ramirez | Nurse Practitioner | 1745 S Imperial Ave, Suite A, El Centro, CA 92243-4243 | 2014-09-22 |
| 1497026439 | Vishwa Kapoor,m.d. Inc | Pediatrics | 1745 S Imperial Ave, A, El Centro, CA 92243-4243 | 2012-01-23 |
| 1275792988 | Melissa Martinez | Counselor | 1745 S Imperial Ave, Suite 112, El Centro, CA 92243-4243 | 2008-06-06 |
| 1851567408 | Rosie Fernandez | Registered Nurse | 1745 S Imperial Ave, Suite 112, El Centro, CA 92243-4243 | 2008-05-05 |
| 1568640282 | Maria Elena Borjon Fierro | Counselor | 1745 S Imperial Ave, Ste 112, El Centro, CA 92243-4243 | 2008-02-05 |
| 1811903743 | Richard Emil Barsan | Dentist | 1745 S Imperial Ave, Suite 107, El Centro, CA 92243-4243 | 2006-07-31 |
| 1548281793 | Louis J. Nidorf | Psychologist | 1745 S Imperial Ave, 104, El Centro, CA 92243-4243 | 2006-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| 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 |
|---|---|---|---|---|
| 1609159540 | Dong Bum Ha | Pharmacist | 1122 Palmview Ave, El Centro, CA 92243-9149 | 2011-09-27 |
| 1336429133 | Cyrus Laborde | Pharmacist | 1501 W. Main Street, El Centro, CA 92243 | 2011-08-24 |
| 1376831644 | Pablo Guerrero Mendoza | Pharmacist | 2295 N. Imperial Ave., El Centro, CA 92243 | 2011-07-20 |
| 1053605444 | Bhavikkumar Kiritkumar Patel | Pharmacist | 1601 N Imperial Ave Ste B, El Centro, CA 92243-1399 | 2011-06-03 |
| 1538480645 | Sangati Patel | Pharmacist | 325 Wake Ave, El Centro, CA 92243-9651 | 2010-06-13 |
| 1588873533 | Christine H Yu | Pharmacist | 1115 N Imperial Ave, Ice Medical Referral Center, El Centro, CA 92243-1739 | 2007-05-22 |
| 1376664409 | Maria Caridad Roxas | Pharmacist | 1501 W Main St, El Centro, CA 92243-2211 | 2007-04-03 |
| 1740322015 | Lynn Marie Thatcher | Pharmacist | 1600 S Imperial Avenue, El Centro, CA 92243 | 2007-02-13 |
| 1275146243 | Bilal Jamil Mohammad Albtoush | Pharmacist | 100 N Imperial Ave, El Centro, CA 92243-2809 | 2020-08-28 |
| 1083237648 | Y Hoang | Pharmacist | 1415 Ross Ave, El Centro, CA 92243-4306 | 2020-05-18 |
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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.