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

Sasipan Jetawatana

Individual provider Pharmacist · NPI 1053763144

Sasipan Jetawatana is a Pharmacist in Northridge, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

18350 Roscoe Blvd
Northridge, CA 91325-4109
Phone: (818) 688-5772
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 73148 (CA)

Record details

NPI number1053763144
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2016
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing address18350 Roscoe Blvd Ste 102, Northridge, CA 91325-4193

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