Healthcare Provider Details

I. General information

NPI: 1255267662
Provider Name (Legal Business Name): PHUONG NHU TRINH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17175 GILLETTE AVE
IRVINE CA
92614-5602
US

IV. Provider business mailing address

12272 LORNA ST
GARDEN GROVE CA
92841-3238
US

V. Phone/Fax

Practice location:
  • Phone: 949-660-7126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91493
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: