Healthcare Provider Details

I. General information

NPI: 1033058177
Provider Name (Legal Business Name): KIM THUY MINH TO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14501 MAGNOLIA ST STE 100
WESTMINSTER CA
92683-1307
US

IV. Provider business mailing address

14501 MAGNOLIA ST STE 100
WESTMINSTER CA
92683-1307
US

V. Phone/Fax

Practice location:
  • Phone: 714-890-3174
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number89259
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: