Quyen Tu Phung, Pharm.D.
Pharmacist in Long Beach, CA. Individual provider (NPI-1).
NPI number1063797751
StatusActive
Last updated in NPPESOct 13, 2011
Details
- NPI
- 1063797751
- Entity type
- Individual (NPI-1)
- Name
- Quyen Tu Phung
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2011
- Last updated
- Oct 13, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 65643 | CA | Yes |
Practice location
5901 E 7th StLong Beach, CA 90822-5201
Phone 562-826-8000
Mailing address
26286 Carmel StLaguna Hills, CA 92656-3117
Phone 714-204-6099
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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