Provider Demographics
NPI:1184945834
Name:MIYA, REBECCA KAR-YIU (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:KAR-YIU
Last Name:MIYA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 RADCLIFF PL
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6251
Mailing Address - Country:US
Mailing Address - Phone:562-691-0208
Mailing Address - Fax:
Practice Address - Street 1:8030 DALE ST
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-2251
Practice Address - Country:US
Practice Address - Phone:714-527-2396
Practice Address - Fax:714-527-0212
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist