Provider Demographics
NPI:1194045088
Name:SAI, JANET S
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:SAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 E DRYCREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-2376
Mailing Address - Country:US
Mailing Address - Phone:626-339-8238
Mailing Address - Fax:626-446-4514
Practice Address - Street 1:39 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-8511
Practice Address - Country:US
Practice Address - Phone:626-446-1884
Practice Address - Fax:626-446-4514
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist