Mina Nghi Dang
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Eastvale, CA
NPI 1104295468 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1104295468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 73415 (CA)
- Practice address
- 5030 Hamner Ave
Eastvale, CA 91752-1009 - Phone
- (714) 414-6587
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73415 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73415 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 73415 | CA | Yes |
Addresses
Primary practice location
5030 Hamner Ave
Eastvale, CA 91752-1009
Mailing address
5030 Hamner Ave
Eastvale, CA 91752-1009
Phone (714) 414-6587
Other providers in Eastvale, CA
- Crossover Health Medical Group
- Eric D Crothers
- Jezreel Cruz
- Mark Cuenco
- Anish Dalal
- David Picella PHD Inc
- Davita Riverside II LLC
- Sabrina Dea
- Dellbrook Guest Home
- Dellbrook Guest Home II
All providers in Eastvale, CA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.