Provider Demographics
NPI:1528557576
Name:DOAN, DUC NGOC (PHARMD)
Entity Type:Individual
Prefix:
First Name:DUC
Middle Name:NGOC
Last Name:DOAN
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 1:8732 THORPE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6845
Mailing Address - Country:US
Mailing Address - Phone:949-449-6639
Mailing Address - Fax:
Practice Address - Street 1:2700 PARK AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-2708
Practice Address - Country:US
Practice Address - Phone:714-338-1942
Practice Address - Fax:714-338-1939
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA781531835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist