Provider Demographics
NPI:1639980188
Name:YIK, JUSTIN LUU (PHARMD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:LUU
Last Name:YIK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 MONTERRA WAY
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4261
Mailing Address - Country:US
Mailing Address - Phone:714-317-5344
Mailing Address - Fax:
Practice Address - Street 1:15232 SHERMAN WAY
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2022
Practice Address - Country:US
Practice Address - Phone:818-374-3480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist