MEDICARE: UYEN HO PHARM.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	55950	CA

General Provider Information

NPI Number	:	1578156212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UYEN HO PHARM.D

Provider Business Mailing Address
First Line	:	12526 WESTMINSTER AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2166
Country	:	US
Telephone Number	:	714-554-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	12526 WESTMINSTER AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-2166
Country	:	US
Telephone Number	:	714-554-1111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2021
Last Update Date	:	02/13/2021

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Directions to “ UYEN HO PHARM.D” Practice Location

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