Le, Phuong-Thao

Le, Phuong-Thao is an sole proprietor health care provider with primary practice located at 13052 Newport Ave , Tustin CA 92780-3535. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Le, Phuong-Thao can be contacted via phone (714) 505-6021.

Contact Information

Primary practice address
13052 Newport Ave Tustin CA 92780-3535
Phone: (714) 505-6021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 41252 California

Profile Details

NPI number 1033487657
LBN Legal business name Le, Phuong-Thao
Credentials PHARM. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2011
Last updated Dec 9th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033487657 NPPES
California Other 41252 LIC NUMBER RPH

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