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LUIS ANTONIO VIDAURRAZAGA JR.
NPI 1093402695
Pharmacist in La Mirada, CA

Active since April 24, 2023
12049 PENFORD DR, LA MIRADA, CA 90638(310) 908-5817 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Antonio Vidaurrazaga Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS ANTONIO VIDAURRAZAGA JR. (NPI 1093402695) is an individual pharmacist in La Mirada, California, licensed in California (INT44785) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1093402695
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLUIS ANTONIO VIDAURRAZAGA JR.
Location Address12049 PENFORD DRLa Mirada, CA 90638-1546
Mailing Address12049 Penford DrLa Mirada, CA 90638-1546 · (310) 908-5817
Phone(310) 908-5817
Sole ProprietorNo
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1093402695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · INT44785
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
12049 PENFORD DR, La Mirada, CA 90638
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Vidaurrazaga's NPI number?

The NPI number for Luis Vidaurrazaga is 1093402695. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Luis Vidaurrazaga located?

Luis Vidaurrazaga practices at 12049 Penford Dr, La Mirada, CA 90638. The listed phone number is (310) 908-5817.

What is Luis Vidaurrazaga's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Luis Vidaurrazaga was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.