Provider Demographics
NPI:1477261543
Name:APPENG, CALVIN CHRISTOPHER (PHARMD)
Entity Type:Individual
Prefix:
First Name:CALVIN
Middle Name:CHRISTOPHER
Last Name:APPENG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 BARNETT WAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90032-4106
Mailing Address - Country:US
Mailing Address - Phone:209-798-7835
Mailing Address - Fax:
Practice Address - Street 1:2020 BARNETT WAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-4106
Practice Address - Country:US
Practice Address - Phone:209-471-6566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty