Phan, Dung Ngoc

Phan, Dung Ngoc is an sole proprietor health care provider with primary practice located at 4776 El Cajon Blvd Ste 105, San Diego CA 92115-4521. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is her primary health care specialty. Phan, Dung Ngoc can be contacted via phone (619) 287-1206.

Contact Information

Primary practice address
4776 El Cajon Blvd Ste 105 San Diego CA 92115-4521
Phone: (619) 287-1206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH 47041 California
Suppliers / Community/Retail Pharmacy 3336C0003X RPH47041 California

Profile Details

NPI number 1073518627
LBN Legal business name Phan, Dung Ngoc
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Mar 11th, 2022 - about 2 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 1073518627 NPPES
California MEDICAID PHA435300

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