Healthcare Provider Details

I. General information

NPI: 1861308363
Provider Name (Legal Business Name): HUONG KIM DO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HILLMONT AVE FL 340B5
VENTURA CA
93003-1651
US

IV. Provider business mailing address

300 HILLMONT AVE FL 340B5
VENTURA CA
93003-1651
US

V. Phone/Fax

Practice location:
  • Phone: 805-652-3370
  • Fax:
Mailing address:
  • Phone: 805-652-3370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number56088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: