THI HAI DUONG PHAN (NPI# 1174095194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174095194 |
| Entity Type | Individual |
| Full Name | THI HAI DUONG PHAN |
| Other Name | HAI DUONG PHAN |
| Practice Address |
4200 Trabuco Rd Irvine CA 92620-3600 |
| Mailing Address |
308 Tonopah Ave La Puente CA 91744-3532 |
| Practice Telephone | 9498613170 |
| Practice Fax Number | 9498613179 |
| Mailing Telephone | 6267573481 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
77808 | CA | Suppliers |
| Street Address |
4200 TRABUCO RD |
| City | IRVINE |
| State | CA |
| Zip Code | 92620-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028374 | Pamela Dorner | Physical Therapist | 4200 Trabuco Rd, Suite 150, Irvine, CA 92620-3600 | 2006-01-17 |
| 1891180790 | Augustine Louis Nieto IIi | Chiropractor | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3600 | 2015-03-30 |
| 1902115579 | Brent M. Smith, D.c. A Chiropractic Corporation | Chiropractor | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3600 | 2010-09-30 |
| 1568786523 | Heather Lyn Carmona | Chiropractor | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3659 | 2010-03-19 |
| 1326240268 | Ying Qi | Acupuncturist | 4200 Trabuco Rd, #218, Irvine, CA 92620 | 2007-06-04 |
| 1396961496 | Ali Sarvestani | Chiropractor | 4200 Trabuco Rd, Irvine, CA 92620-3600 | 2007-04-17 |
| 1518084383 | Hellen H Roh | Family Medicine | 4200 Trabuco Rd, Suite 180, Irvine, CA 92620-3600 | 2007-03-24 |
| 1033236138 | Regina Yang | Dentist | 4200 Trabuco Rd, # 110, Irvine, CA 92620-3600 | 2007-03-23 |
| 1154461705 | Jane E Becker-galusha | Physical Therapist | 4200 Trabuco Rd, Suite 150, Irvine, CA 92620-3600 | 2007-02-06 |
| 1376625665 | Chong-shu Wang | Dentist | 4200 Trabuco Rd, #130, Irvine, CA 92620-3600 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1720534548 | Acupia Wellness | Acupuncturist | 4940 Irvine Blvd Ste 204, Irvine, CA 92620 | 2016-08-31 |
| 1508241779 | Brian Licuanan | Psychologist | 17 Herringbone, Irvine, CA 92620 | 2015-07-29 |
| 1689069791 | Saedeh Nia | Pharmacist | 29 Dusty Rose, Irvine, CA 92620 | 2015-04-06 |
| 1285047886 | Dongwuk Koh | Technician/Technologist | 4790 Irvine Blvd Suit 105-180, Irvine, CA 92620 | 2014-06-11 |
| 1447693742 | Farhad Najafi | Internal Medicine | 26 Sanctuary, Irvine, CA 92620 | 2013-04-17 |
| 1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
| 1437442118 | Agape Health Care Services | In Home Supportive Care | 636 Grand Canal, Irvine, CA 92620 | 2011-05-27 |
| 1528296290 | Erika Ildiko Gray | Pharmacist | 3 Ninos, Irvine, CA 92620 | 2009-07-01 |
| Find all providers in zip 92620 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681360 | Tod Investments LLC | Pharmacy | 18271 Mcdurmott W Ste D, Irvine, CA 92614-6754 | 2020-02-19 |
| 1083247928 | Md8 Investments LLC | Pharmacy | 18010 Sky Park Cir Ste 225, Irvine, CA 92614-6486 | 2020-02-19 |
| 1205481181 | Nowrx | Pharmacy | 1641 Kaiser Ave, Irvine, CA 92614-5735 | 2019-08-07 |
| 1285105692 | Jd Health LLC | Pharmacy | 18003 Sky Park Cir Ste B-c, Irvine, CA 92614-6513 | 2018-12-10 |
| 1275042459 | Elong Pharmacy LLC | Pharmacy | 15415 Jeffrey Rd Ste 108, Irvine, CA 92618-4103 | 2017-09-20 |
| 1932620077 | Tmd Health LLC | Pharmacy | 17942 Sky Park Cir Ste B, Irvine, CA 92614-4431 | 2017-06-28 |
| 1801226501 | Apothera Inc | Pharmacy | 45 Post, Ste B, Irvine, CA 92618-5216 | 2013-11-15 |
| 1538407796 | Medlife Pharmacy & Compounding,inc. | Pharmacy | 6644 Irvine Center Dr, Irvine, CA 92618-2117 | 2013-01-23 |
| 1538403225 | Walmart Inc. | Pharmacy | 16555 Von Karman Ave, Irvine, CA 92606-4928 | 2012-11-19 |
| 1518251024 | Bristol Pharmacy | Pharmacy | 250 East Yale Loop, Suite C, Irvine, CA 92604 | 2011-06-01 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on THI HAI DUONG PHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.