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NPI Code Detail

MEDICARE: MICHELLE MINH DOAN

MEDICARE: MICHELLE MINH DOAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist67276CA

General Provider Information

NPI Number : 1104305192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MINH DOAN
Provider Business Mailing Address
First Line : 8451 GARO PL
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3321
Country : US
Telephone Number : 714-916-6170
Fax Number :
Provider Business Practice Location Address
First Line : 901 SILVER SPUR RD
Second Line :
City : ROLLING HILLS ESTATES
State : CA
Zip : 90274-3805
Country : US
Telephone Number : 310-377-6728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2018
Last Update Date : 08/09/2018

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Directions to “ MICHELLE MINH DOAN ” Practice Location

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