Provider Demographics
NPI:1851536940
Name:NGHIEM, BEATRICE BICH-VAN (RPH)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:BICH-VAN
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E VALLEY BLVD STE J
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3591
Mailing Address - Country:US
Mailing Address - Phone:626-571-5967
Mailing Address - Fax:626-571-5968
Practice Address - Street 1:625 E VALLEY BLVD STE J
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3591
Practice Address - Country:US
Practice Address - Phone:626-571-5967
Practice Address - Fax:626-571-5968
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32760183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist