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Phong Mai
NPI 1063943553 · on the registry since 2017 · sole proprietor
Practice
- Address
- 700 S Gaffey St
San Pedro, CA 90731 - Phone
- (310) 514-2003
- Fax
- (310) 514-2136
- Organisation at this address
- Garfield Beach Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California