Provider Demographics
NPI:1215575030
Name:ESLIZA, UZZLE PADUA (PHARMD)
Entity Type:Individual
Prefix:
First Name:UZZLE
Middle Name:PADUA
Last Name:ESLIZA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-2125
Mailing Address - Country:US
Mailing Address - Phone:213-300-6510
Mailing Address - Fax:
Practice Address - Street 1:11673 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-0141
Practice Address - Country:US
Practice Address - Phone:909-357-2031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81144183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist