Provider Demographics
NPI:1891383667
Name:SALIB, LILIAN GHATTAS MOSAAD (RPH)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:GHATTAS MOSAAD
Last Name:SALIB
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 1:7521 EDINGER AVE UNIT 2627
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-3595
Mailing Address - Country:US
Mailing Address - Phone:925-549-2474
Mailing Address - Fax:
Practice Address - Street 1:7521 EDINGER AVE UNIT 2627
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3595
Practice Address - Country:US
Practice Address - Phone:925-549-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82492183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist