Provider Demographics
NPI:1538488689
Name:YEN, LILIAN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LILIAN
Middle Name:
Last Name:YEN
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 1:9550 GARDENIA AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2313
Mailing Address - Country:US
Mailing Address - Phone:714-531-5828
Mailing Address - Fax:
Practice Address - Street 1:9661 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2706
Practice Address - Country:US
Practice Address - Phone:714-530-4730
Practice Address - Fax:714-530-4031
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH44920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist