OrganizationActive
Custom Compounding Centers LLC
NPI 1902128911 · Compounding Pharmacy · Los Alamitos, CA
Provider details
- NPI number
- 1902128911
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Paul Wheeler, Pic(714) 824-2120
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
10525 Humbolt St
Los Alamitos, CA 90720-5401
Phone: (714) 894-2120
Fax: (714) 894-2150
Approximate (ZIP-level) locationGet directions
Mailing address
10525 Humbolt St
Los Alamitos, CA 90720-5401
Other names (DBA / former)
- Doing business as
- Custom Compounding Centers
Registry dates
- Enumerated
- 2010-02-17
- Last updated
- 2014-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.