DR. LOAN PHUONG PHAM (NPI# 1629346838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629346838 |
| Entity Type | Individual |
| Full Name | DR. LOAN PHUONG PHAM |
| Practice Address |
1344 W Redondo Beach Blvd Gardena CA 90247-3356 |
| Practice Telephone | 3103535726 |
| Practice Fax Number | 3103535770 |
| Mailing Telephone | 3103535726 |
| Mailing Fax Number | 3103535770 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS 39543 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH 59524 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245701390 | Loan Thi Pham | Respiratory Therapist, Registered | 8179 Sita Ct, Sacramento, CA 95829 | 2018-12-16 |
| 1306163456 | Loan Ngoc Pham | Pharmacist | 1430 Beaumont Ave, Beaumont, CA 92223-4704 | 2010-04-29 |
| 1790906220 | Loan Ngoc Pham | Pharmacist | 1079 Edwards Ferry Rd Ne, Leesburg, VA 20176 | 2007-05-01 |
| 1053440065 | Loan Vu Minh Pham | Nurse Practitioner | Caremore, 12900 Park Plaza Dr, Cerritos, CA 90703 | 2007-03-05 |
| 1750491171 | Loan Tu Nguyen Pham | Pharmacist | 468 Ellis Street, San Francisco, CA 94102 | 2006-08-30 |
| 1275196230 | Loan Pham | Pharmacist | 3338 Arden Way, Sacramento, CA 95825-2017 | 2019-04-16 |
| 1811423072 | Loan Pham | Student in an Organized Health Care Education/Training Program | 500 South Preston Street, Room 305, Louisville, KY 40202 | 2017-05-10 |
| 1780954008 | Loan Thi Pham | Pharmacist | 3863 S Dale Mabry Hwy, Tampa, FL 33611-1405 | 2012-01-03 |
| 1861521817 | Loan Thanh Pham | Dentist | 6830 Stockton Blvd, Suite 185, Sacramento, CA 95823-2325 | 2007-03-05 |
| 1396893384 | Loan Trung Pham | Internal Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| Street Address |
1344 W REDONDO BEACH BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104831296 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1344 W Redondo Beach Blvd, Gardena, CA 90247-3356 | 2006-07-29 |
| 1154813541 | Angela Chen | Pharmacist | 1344 W Redondo Beach Blvd, Gardena, CA 90247-3356 | 2018-06-01 |
| 1518236728 | Eugene K Wong | Pharmacist | 1344 W Redondo Beach Blvd, Gardena, CA 90247-3356 | 2011-12-16 |
| 1063798643 | Dung Doan | Pharmacist | 1344 W Redondo Beach Blvd, Gardena, CA 90247-3356 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
| 1699399212 | Maksida Sabackic | Pharmacist | 19300 S Hamilton Ave Ste 170180, Gardena, CA 90248-4400 | 2020-05-29 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1306389218 | David Ramiro Lopez | Pharmacist | 1341 W 160th St, Gardena, CA 90247-4411 | 2016-11-24 |
| 1659746899 | Sandra Shibuyama | Pharmacist | 1620 Marine Avenue, Gardena, CA 90247-3108 | 2015-12-12 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1902146897 | Alice C Cheng | Pharmacist | 19300 S Hamilton Ave Ste 170, Gardena, CA 90248-4411 | 2013-02-28 |
| 1073590378 | Samuel K Nkansah | Pharmacist | 14111 Van Ness Ave, Van Park Pharmacy, Gardena, CA 90249-2944 | 2005-12-28 |
| 1932192283 | Thu Thi Dinh | Pharmacist | 15418 Crenshaw Blvd, Gardena, CA 90249-4524 | 2005-08-23 |
| Find all providers in GARDENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.