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Richardsarak Sor Duong
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Los Angeles, California
NPI 1912439217

Richardsarak Sor Duong is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Perris, CA and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Richardsarak Sor Duong practices in Los Angeles, CA. The NPI Number for Richardsarak Sor Duong is 1912439217 and holds a License No. (California).

The current practice location address for Richardsarak Sor Duong is 1670 E 120Th St, Los Angeles, CA and can be reached out via phone at 424-338-1965.

Location: 1670 E 120Th St, Los Angeles, CA, 92571-2936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912439217
Provider Name
Richardsarak Sor Duong
Credential
Provider Entity Type
Individual
Gender
Male
Address
1670 E 120Th St, Los Angeles, CA, 92571-2936
Phone Number
424-338-1965
Fax Number
Provider Enumeration Date
03/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
93687825A06036 05 CA
institution
Provider Business Practice Location Address Details
Address
1670 E 120Th St
City
Los Angeles
State
California
Zip
90059-3026
Phone Number
424-338-1965
Fax Number
person
Provider Business Mailing Address Details
Address
1670 E 120Th St
City
Los Angeles
State
California
Zip
90059-3026
Phone Number
424-338-1965
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
76700 (California)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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