Provider Demographics
NPI:1003162660
Name:CHEN, LYNN PEARL (PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:PEARL
Last Name:CHEN
Suffix:
Gender:F
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18428 GREVILLEA AVE
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-4628
Mailing Address - Country:US
Mailing Address - Phone:310-480-0968
Mailing Address - Fax:
Practice Address - Street 1:18428 GREVILLEA AVE
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-4628
Practice Address - Country:US
Practice Address - Phone:310-480-0968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist