Custom Compounding Centers LLC
Compounding Pharmacy · Los Alamitos, CA
Practice location
10525 Humbolt StLos Alamitos, CA 90720-5401
- Phone
- (714) 894-2120
- Fax
- (714) 894-2150
NPI record
- NPI
- 1902128911
- Entity type
- Organization (Type 2)
- Enumeration date
- February 17, 2010
- Last updated
- January 14, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
PHY 50368 | CA |
| Pharmacy | 333600000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Authorized official
- Name
- Paul Wheeler
- Title
- Pic
- Phone
- (714) 824-2120
Other names
- Custom Compounding Centers
About Custom Compounding Centers LLC
Custom Compounding Centers LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 10525 Humbolt St, Los Alamitos, CA 90720-5401. The NPI number 1902128911 was assigned on February 17, 2010 and the record was last updated on January 14, 2014.
Custom Compounding Centers LLC lists a license in the registry: #PHY 50368 (CA) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Paul Wheeler, Pic.
Frequently asked questions
What is the NPI number of Custom Compounding Centers LLC?
The NPI number is 1902128911.
What is the phone number of Custom Compounding Centers LLC?
The phone number listed for the practice location is (714) 894-2120.
Where is Custom Compounding Centers LLC located?
10525 Humbolt St, Los Alamitos, CA 90720-5401.
What is the taxonomy code for Custom Compounding Centers LLC?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.