Individual
ANDY KHOA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1026 S BROADWAY STE A, LOS ANGELES, CA 90015-4779
(213) 419-9555
Mailing address
5016 W 5TH ST APT G, SANTA ANA, CA 92703-3190
(714) 200-4516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
84938
CA
Other
Enumeration date
08/31/2021
Last updated
10/26/2021
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