Healthcare Provider Details

I. General information

NPI: 1780475095
Provider Name (Legal Business Name): NGOC TRAN RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 PACIFIC AVE STE A
LONG BEACH CA
90813-1715
US

IV. Provider business mailing address

9480 LARSON AVE
GARDEN GROVE CA
92844-1568
US

V. Phone/Fax

Practice location:
  • Phone: 562-599-5292
  • Fax:
Mailing address:
  • Phone: 714-745-5466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: