Provider Demographics
NPI:1407981194
Name:SUEN, LAIHAH (RPH)
Entity Type:Individual
Prefix:MS
First Name:LAIHAH
Middle Name:
Last Name:SUEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2558 HERLINDA LN
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4944
Mailing Address - Country:US
Mailing Address - Phone:626-810-8211
Mailing Address - Fax:626-810-8985
Practice Address - Street 1:1724 NOGALES ST
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2943
Practice Address - Country:US
Practice Address - Phone:626-810-8211
Practice Address - Fax:626-810-8985
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist