Chan, Johnny Pinghon
Chan, Johnny Pinghon is an sole proprietor health care provider with primary practice located at 3137 Jefferson Ave , Redwood City CA 94062-2959. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Chan, Johnny Pinghon can be contacted via phone (650) 366-3784.Contact Information
Primary practice address
3137 Jefferson Ave
Redwood City CA 94062-2959
Phone: (650) 366-3784
Fax: (650) 366-1848
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | RPH32261 | California |
Profile Details
NPI number | 1881687846 |
---|---|
LBN Legal business name | Chan, Johnny Pinghon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 25th, 2005 |
Last updated | Feb 13th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881687846 | NPPES |
California | Other | PHY11062 | PHARMACY LICENCE |
California | MEDICAID | PHA110620 | PHARMACY LICENCE |
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