Provider Demographics
NPI:1457671778
Name:XIANG, NANCY NIAN HWA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:NIAN HWA
Last Name:XIANG
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 1:12342 ANDY ST
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-8407
Mailing Address - Country:US
Mailing Address - Phone:562-860-9713
Mailing Address - Fax:562-860-9713
Practice Address - Street 1:334 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020
Practice Address - Country:US
Practice Address - Phone:213-381-5257
Practice Address - Fax:213-381-1855
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46494183500000X
NV11734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist