Healthcare Provider Details

I. General information

NPI: 1548674955
Provider Name (Legal Business Name): GIANG-TIEN CHAU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 06/06/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CT
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

200 MERCY CT
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-719-3578
  • Fax:
Mailing address:
  • Phone: 760-719-3578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: