Provider Demographics
NPI:1841582640
Name:GUO, LENA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LENA
Middle Name:
Last Name:GUO
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 1:1417 W BEVERLY BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-4125
Mailing Address - Country:US
Mailing Address - Phone:323-206-4466
Mailing Address - Fax:
Practice Address - Street 1:1417 W BEVERLY BLVD STE 103
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4125
Practice Address - Country:US
Practice Address - Phone:323-206-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH819752183500000X
CARPH81972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist