Provider Demographics
NPI:1750691499
Name:GIANG, PAUL SON (PHARMD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:SON
Last Name:GIANG
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:P.O. BOX 704
Mailing Address - Street 2:
Mailing Address - City:TALMAGE
Mailing Address - State:CA
Mailing Address - Zip Code:95481
Mailing Address - Country:US
Mailing Address - Phone:707-462-7051
Mailing Address - Fax:
Practice Address - Street 1:2500 MERCED ST FL 1
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4201
Practice Address - Country:US
Practice Address - Phone:510-454-6960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64684183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist