Healthcare Provider Details

I. General information

NPI: 1023598877
Provider Name (Legal Business Name): YVONNE THY NGUYEN PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15333 CULVER DR STE 300
IRVINE CA
92604-7149
US

IV. Provider business mailing address

15333 CULVER DR STE 300
IRVINE CA
92604-7149
US

V. Phone/Fax

Practice location:
  • Phone: 949-654-2600
  • Fax:
Mailing address:
  • Phone: 949-654-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: