Provider Demographics
NPI:1518082197
Name:SZETO, ROGER HK (RPH)
Entity Type:Individual
Prefix:MR
First Name:ROGER
Middle Name:HK
Last Name:SZETO
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 1:14400 ROSCOE BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-3001
Mailing Address - Country:US
Mailing Address - Phone:818-894-1171
Mailing Address - Fax:818-830-1414
Practice Address - Street 1:14400 ROSCOE BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-3001
Practice Address - Country:US
Practice Address - Phone:818-894-1171
Practice Address - Fax:818-830-1414
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA39017OtherCA STATE PHARMACIST LIC#