Provider Demographics
NPI:1043900368
Name:QUYNH, DOAN PHUONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DOAN
Middle Name:PHUONG
Last Name:QUYNH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:QUYNH
Other - Middle Name:PHUONG
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3237 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3709
Mailing Address - Country:US
Mailing Address - Phone:714-538-5609
Mailing Address - Fax:714-538-0335
Practice Address - Street 1:3237 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3709
Practice Address - Country:US
Practice Address - Phone:714-538-5609
Practice Address - Fax:714-538-0335
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87673183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist