Healthcare Provider Details

I. General information

NPI: 1568781334
Provider Name (Legal Business Name): DOANH MANH NGUYEN PHARM. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DON NGUYEN PHARM. D.

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 06/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 WESTMINSTER BLVD
WESTMINSTER CA
92683-3706
US

IV. Provider business mailing address

377 FLINT AVE
LONG BEACH CA
90814-3207
US

V. Phone/Fax

Practice location:
  • Phone: 714-897-8521
  • Fax:
Mailing address:
  • Phone: 562-498-7608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number40232
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: