Provider Demographics
NPI:1437568557
Name:LAD JINA, KAMINI (RPH)
Entity Type:Individual
Prefix:
First Name:KAMINI
Middle Name:
Last Name:LAD JINA
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 1:5625 GOSFORD RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4999
Mailing Address - Country:US
Mailing Address - Phone:661-654-8577
Mailing Address - Fax:
Practice Address - Street 1:5625 GOSFORD RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-4999
Practice Address - Country:US
Practice Address - Phone:661-654-8577
Practice Address - Fax:661-654-8580
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55658183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist