Provider Demographics
NPI:1548615719
Name:HINOJOSA, ELIZABETH DIAZ (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DIAZ
Last Name:HINOJOSA
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:P.O BOX 81
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-0081
Mailing Address - Country:US
Mailing Address - Phone:323-514-7338
Mailing Address - Fax:
Practice Address - Street 1:4351 E IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262
Practice Address - Country:US
Practice Address - Phone:310-609-2406
Practice Address - Fax:310-609-2471
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-25
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD13522183500000X
CARPH78753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist