Healthcare Provider Details

I. General information

NPI: 1871409748
Provider Name (Legal Business Name): CHARLENE DOHANH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8312 GUMWOOD CIR
WESTMINSTER CA
92683-6324
US

IV. Provider business mailing address

8312 GUMWOOD CIR
WESTMINSTER CA
92683-6324
US

V. Phone/Fax

Practice location:
  • Phone: 714-642-5708
  • Fax:
Mailing address:
  • Phone: 714-642-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number57951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: