Provider Demographics
NPI:1659091288
Name:DOAN, DIANA XUAN-THUYEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:XUAN-THUYEN
Last Name:DOAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 LINKSHEAD CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3609
Mailing Address - Country:US
Mailing Address - Phone:408-786-4571
Mailing Address - Fax:
Practice Address - Street 1:1130 FOXWORTHY AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-1209
Practice Address - Country:US
Practice Address - Phone:408-723-9905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist