Provider Demographics
NPI:1326515917
Name:LINH, NGHIEM NGOC (RPH)
Entity Type:Individual
Prefix:
First Name:NGHIEM
Middle Name:NGOC
Last Name:LINH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 EVON LN
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1322
Mailing Address - Country:US
Mailing Address - Phone:714-457-0485
Mailing Address - Fax:
Practice Address - Street 1:6001 COFFEE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9414
Practice Address - Country:US
Practice Address - Phone:661-587-5401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist