Healthcare Provider Details

I. General information

NPI: 1689506594
Provider Name (Legal Business Name): DOUGLAS HIEP PHAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 W FERN DR
FULLERTON CA
92832-1221
US

IV. Provider business mailing address

369 W FERN DR
FULLERTON CA
92832-1221
US

V. Phone/Fax

Practice location:
  • Phone: 714-313-2089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: