Provider Demographics
NPI:1053474056
Name:DIEP-KWEI, KATHERINE HOA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:HOA
Last Name:DIEP-KWEI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:HOA
Other - Last Name:DIEP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:38 TOWNSEND
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3868
Mailing Address - Country:US
Mailing Address - Phone:626-780-3537
Mailing Address - Fax:949-679-7859
Practice Address - Street 1:4200 TRABUCO RD STE 190
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3659
Practice Address - Country:US
Practice Address - Phone:949-861-3170
Practice Address - Fax:949-861-3179
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist