Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camilla Divina Galut Licerio

Individual provider Pharmacy Technician · NPI 1811580137

Camilla Divina Galut Licerio is a Pharmacy Technician in Los Angeles, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

2732 W Olympic Blvd
Los Angeles, CA 90006-2633
Phone: (213) 382-6391
Fax: (213) 387-7475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 144493 (CA)

Record details

NPI number1811580137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

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