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MISS DUNG NGOC PHAN R.PH.
NPI 1073518627
Pharmacy - Community/Retail Pharmacy in San Diego, CA

Active since June 20, 2005
4776 EL CAJON BLVD, STE 105, SAN DIEGO, CA 92115(619) 287-1206 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Dung Ngoc Phan R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS DUNG NGOC PHAN R.PH. (NPI 1073518627) is an individual community/retail pharmacy provider in San Diego, California, licensed in California (RPH47041) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1073518627
Entity TypeIndividualFemale
Primary Taxonomy3336C0003X
Provider Legal NameMISS DUNG NGOC PHANCredential: R.PH.
Location Address4776 EL CAJON BLVD, STE 105San Diego, CA 92115-4521
Mailing Address4776 El Cajon Blvd, Ste 105San Diego, CA 92115-4521 · (619) 287-1206
Phone(619) 287-1206
Sole ProprietorYes
Enumeration DateJune 20, 2005
Last NPPES UpdateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1073518627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · RPH47041
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacistTaxonomy 183500000X · License RPH 47041 (CA)
4776 EL CAJON BLVD, San Diego, CA 92115
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Other Identifiers 1

MedicaidPHA435300CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dung Phan's NPI number?

The NPI number for Dung Phan is 1073518627. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Dung Phan located?

Dung Phan practices at 4776 El Cajon Blvd Ste 105, San Diego, CA 92115. The listed phone number is (619) 287-1206.

What is Dung Phan's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Dung Phan was last updated on March 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.