Provider Demographics
NPI:1326693185
Name:JUSINO, ISABELLA FERNANDA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:ISABELLA
Middle Name:FERNANDA
Last Name:JUSINO
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 1:2933 W 8TH ST APT 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-1536
Mailing Address - Country:US
Mailing Address - Phone:954-703-0519
Mailing Address - Fax:
Practice Address - Street 1:3400 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-1785
Practice Address - Country:US
Practice Address - Phone:323-268-3384
Practice Address - Fax:323-268-1940
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438771835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist