Provider Demographics
NPI:1407175664
Name:DOAN, VICTORIA VUTHUY
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:VUTHUY
Last Name:DOAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8931 DEIRA LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6266
Mailing Address - Country:US
Mailing Address - Phone:714-827-8871
Mailing Address - Fax:
Practice Address - Street 1:19701 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3532
Practice Address - Country:US
Practice Address - Phone:714-970-7666
Practice Address - Fax:714-970-7590
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 56605183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist