Provider Demographics
NPI:1679340624
Name:MARINA BAY TOWER, INC
Entity type:Organization
Organization Name:MARINA BAY TOWER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:YEO-HAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:310-375-2457
Mailing Address - Street 1:22330 HAWTHORNE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2541
Mailing Address - Country:US
Mailing Address - Phone:310-375-2457
Mailing Address - Fax:310-375-2463
Practice Address - Street 1:22330 HAWTHORNE BLVD STE B
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2541
Practice Address - Country:US
Practice Address - Phone:310-375-2457
Practice Address - Fax:310-375-2463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy