Provider Demographics
NPI:1275890758
Name:CEN, ELAINE LI TING (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:LI TING
Last Name:CEN
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 1:1962 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1025
Mailing Address - Country:US
Mailing Address - Phone:415-812-7185
Mailing Address - Fax:
Practice Address - Street 1:1962 43RD AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1025
Practice Address - Country:US
Practice Address - Phone:415-812-7185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR 60227620183500000X
CAINT 29355183500000X
IDE18409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist