Provider Demographics
NPI:1679861835
Name:STIMMEL, CHRISTINE TRAN (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:TRAN
Last Name:STIMMEL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:UYEN PHUONG
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:5600 WHITTIER BLVD
Mailing Address - Street 2:T-0189
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90022-4106
Mailing Address - Country:US
Mailing Address - Phone:323-725-7861
Mailing Address - Fax:323-725-7861
Practice Address - Street 1:5600 WHITTIER BLVD
Practice Address - Street 2:T-0189
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90022-4106
Practice Address - Country:US
Practice Address - Phone:323-725-7861
Practice Address - Fax:323-725-7861
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50769183500000X
WI12643183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist