Healthcare Provider Details

I. General information

NPI: 1831000199
Provider Name (Legal Business Name): CHAN RITH VOENG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 IRVINE BLVD
IRVINE CA
92620-2102
US

IV. Provider business mailing address

127 STEPPING STONE
IRVINE CA
92603-0676
US

V. Phone/Fax

Practice location:
  • Phone: 213-292-4002
  • Fax:
Mailing address:
  • Phone: 213-292-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: