Provider Demographics
NPI:1427377126
Name:PLATT, CECIL P (RPH)
Entity Type:Individual
Prefix:MR
First Name:CECIL
Middle Name:P
Last Name:PLATT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12028 DUNBLANE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1134
Mailing Address - Country:US
Mailing Address - Phone:818-360-7632
Mailing Address - Fax:818-360-7632
Practice Address - Street 1:18444 PLUMMER ST
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-2112
Practice Address - Country:US
Practice Address - Phone:818-349-6267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist