LOI C PHAN (NPI# 1669688594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669688594 |
| Entity Type | Individual |
| Full Name | LOI C PHAN |
| Practice Address |
4410 Slauson Ave Maywood CA 90270-2932 |
| Practice Telephone | 3237719422 |
| Practice Fax Number | 3237714461 |
| Mailing Telephone | 3237719422 |
| Mailing Fax Number | 3237714461 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 56232 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144308636 | Loi P. Phan | Family Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| Street Address |
4410 SLAUSON AVE |
| City | MAYWOOD |
| State | CA |
| Zip Code | 90270-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648361 | Tiana Le | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2020-10-29 |
| 1215289400 | Kevin Soohoo | Acupuncturist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2012-10-11 |
| 1811218944 | Kyong Kim | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2010-06-11 |
| 1073720918 | Anna M Kim | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770972374 | Jose R. Torres Dds Inc | Health Maintenance Organization | 3619 E.slauson Ave, Suite A, Maywood, CA 90270 | 2015-01-20 |
| 1417207887 | Alejandra Meza | Case Manager/Care Coordinator | 4930 E.59th Place, Maywood, CA 90270 | 2012-09-13 |
| 1134350267 | Gary Garoian D.d.s., Inc. | Dentist | 4201 East Slauson Ave, Maywood, CA 90270 | 2009-08-06 |
| 1548309560 | Shane Medical Office A Professional Corporation | Internal Medicine | 4316 E. Slauson Ave, Maywood, CA 90270 | 2007-02-06 |
| 1245385178 | Robert M Mendez Jr. | Dentist | 5705 Atlantic Blvd, Suite A1, Maywood, CA 90270 | 2007-01-23 |
| 1215010319 | Leonard J Feld | Dentist | 4332 E Slauson Ave, Maywood, CA 90270 | 2006-10-23 |
| 1366524019 | The Medicine Cabinet Inc. | Pharmacy | 5906 Atlantic Blvd., Maywood, CA 90270 | 2006-10-20 |
| 1578124871 | Javier Jardon, M.d., Medical Corporation | Ophthalmology | 4131 Slauson Ave, Maywood, CA 90270 | 2019-06-26 |
| 1992873947 | Ardmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-11-30 |
| 1275623472 | Andmore Medical Group | Obstetrics & Gynecology | 5953 Atlantic Blvd, Maywood, CA 90270 | 2006-10-16 |
| Find all providers in zip 90270 | ||||
| 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 |
|---|---|---|---|---|
| 1477899029 | Sweta R Thakker | Pharmacist | 15 Essex Ct, Maywood, NJ 07607-1808 | 2012-12-28 |
| 1750639027 | Nicolette Stewart | Pharmacist | 1900 S 3rd Ave, Maywood, IL 60153-3316 | 2012-08-17 |
| 1023327665 | Emily Yan | Pharmacist | 110 E Magnolia Ave, Maywood, NJ 07607-1944 | 2010-09-30 |
| 1477870343 | Sanjaykumar K Rudani | Pharmacist | 673 Maywood Ave, Maywood, NJ 07607-1505 | 2010-04-30 |
| 1477885663 | Ayse Karabas | Pharmacist | 154 Maybrook Dr, Maywood, NJ 07607-1849 | 2010-02-12 |
| 1437480803 | Ari Fishkin | Pharmacist | 102 W Pleasant Ave, Maywood, NJ 07607-1336 | 2010-01-24 |
| 1912123548 | Seyha Kem | Pharmacist | 6046 Atlantic Blvd, Maywood, CA 90270-3119 | 2007-04-18 |
| 1932205390 | Satyam Patel | Pharmacist | 5 Th Avenue Roosevelt, Maywood, IL 60141 | 2006-09-15 |
| 1467494864 | Maywood Pharmacy Inc | Pharmacist | 318 W Madison St, Maywood, IL 60153-2151 | 2006-06-11 |
| 1326648361 | Tiana Le | Pharmacist | 4410 Slauson Ave, Maywood, CA 90270-2932 | 2020-10-29 |
| Find all providers in MAYWOOD | ||||
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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.