Healthcare Provider Details

I. General information

NPI: 1750780573
Provider Name (Legal Business Name): PHUONG-THI DANG PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15663 BROOKHURST ST
WESTMINSTER CA
92683-7556
US

IV. Provider business mailing address

15663 BROOKHURST ST
WESTMINSTER CA
92683-7556
US

V. Phone/Fax

Practice location:
  • Phone: 714-839-1267
  • Fax:
Mailing address:
  • Phone: 714-839-1267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50320
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number50320
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number50320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: