Individual
CHI HONG PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13472 HEATHER CIR, GARDEN GROVE, CA 92840-6116
(714) 622-8879
Mailing address
13472 HEATHER CIR, GARDEN GROVE, CA 92840-6116
(714) 622-8879
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87594
CA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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