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TAM PHAN
NPI 1386128585
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Los Angeles, CA

Active since September 24, 2018
1625 SCHRADER BLVD FL 1, LOS ANGELES, CA 90028(323) 993-7513 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2020, Sep 24, 2018 (2 updates tracked since 2018).

About Tam Phan NPPES

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

TAM PHAN (NPI 1386128585) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Los Angeles, California, licensed in California (78948) and active in the NPI registry since September 2018. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386128585
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameTAM PHAN
Location Address1625 SCHRADER BLVD FL 1Los Angeles, CA 90028-6213
Mailing Address1150 W Jefferson Blvd # 150Los Angeles, CA 90089-3604
Phone(323) 993-7513
Sole ProprietorNo
Enumeration DateSeptember 24, 2018
Last NPPES UpdateMarch 2, 20202 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1386128585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in CA · 78948
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 78948 (CA)
Also ListedPharmacist · Ambulatory CareTaxonomy 1835P2201X · License 78948 (CA)
1625 SCHRADER BLVD FL 1, Los Angeles, CA 90028
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Secondary Practice Locations 3

Location 13601 Trousdale PkwyLos Angeles, CA 90089-0046 · Phone (213) 740-2738
Location 21510 San Pablo St Ste 144Los Angeles, CA 90033-5394 · Phone (323) 442-5770
Location 31150 W Jefferson Blvd # 150Los Angeles, CA 90089-3604 · Phone (213) 821-6100

Other Identifiers 1

Medicaid1910UAVSCA

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 Tam Phan's NPI number?

The NPI number for Tam Phan is 1386128585. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Tam Phan located?

Tam Phan practices at 1625 Schrader Blvd Fl 1, Los Angeles, CA 90028. The listed phone number is (323) 993-7513.

What is Tam Phan's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Tam Phan was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.