Provider Demographics
NPI:1225201197
Name:DANG, JOHN QUOC MY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:QUOC MY
Last Name:DANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-5716
Mailing Address - Country:US
Mailing Address - Phone:714-676-2078
Mailing Address - Fax:714-676-2079
Practice Address - Street 1:15611 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7556
Practice Address - Country:US
Practice Address - Phone:714-839-1267
Practice Address - Fax:714-839-5871
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-2712183500000X, 1835P1200X
CA603301835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy