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NPI Code Detail

MEDICARE: PAUL QUOC PHAN PHARMD

MEDICARE:   PAUL QUOC PHAN  PHARMD
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
1183500000XPharmacist86387CA

General Provider Information

NPI Number : 1861325516
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL QUOC PHAN PHARMD
Provider Business Mailing Address
First Line : 888 S HOPE ST UNIT 705
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-4736
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6500 WILSHIRE BLVD # 2327B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4920
Country : US
Telephone Number : 310-967-8459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ PAUL QUOC PHAN PHARMD” Practice Location

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