Provider Demographics
NPI:1477718559
Name:LENGYEL, ANIKO F (PHARM D, CNS)
Entity Type:Individual
Prefix:
First Name:ANIKO
Middle Name:F
Last Name:LENGYEL
Suffix:
Gender:F
Credentials:PHARM D, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17817 SANTIAGO BLVD
Mailing Address - Street 2:NATURAL HEALTH
Mailing Address - City:VILLA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:92861-4133
Mailing Address - Country:US
Mailing Address - Phone:714-998-3031
Mailing Address - Fax:714-998-0084
Practice Address - Street 1:17817 SANTIAGO BLVD
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:CA
Practice Address - Zip Code:92861-4133
Practice Address - Country:US
Practice Address - Phone:714-998-3031
Practice Address - Fax:714-998-0084
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X
CARPH360221835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No133N00000XDietary & Nutritional Service ProvidersNutritionist