Provider Demographics
NPI:1558645085
Name:HU, LIEMIN (RPH,PHD)
Entity Type:Individual
Prefix:MS
First Name:LIEMIN
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:RPH,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15453 DEL PRADO DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-5931
Mailing Address - Country:US
Mailing Address - Phone:626-961-3232
Mailing Address - Fax:
Practice Address - Street 1:8900 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-3765
Practice Address - Country:US
Practice Address - Phone:562-222-1590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45920183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist