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

Luis Antonio Vidaurrazaga Jr.

Individual provider Pharmacist · NPI 1093402695

Luis Antonio Vidaurrazaga Jr. is a Pharmacist in LA Mirada, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

12049 Penford Dr
LA Mirada, CA 90638-1546
Phone: (310) 908-5817
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence INT44785 (CA)

Record details

NPI number1093402695
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

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