Ai-Huong DO, PHARM D
Individual provider Active NPI Pharmacist · Freedom, CA
NPI 1144765371 · NPPES record last updated Dec 25, 2016
Key facts
- NPI
- 1144765371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 64869 (CA)
- Practice address
- 1702 Freedom Blvd
Freedom, CA 95019-3025 - Phone
- (831) 728-9324
- NPI assigned
- Dec 25, 2016
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64869 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64869 | CA | Yes |
Addresses
Primary practice location
1702 Freedom Blvd
Freedom, CA 95019-3025
Mailing address
1702 Freedom Blvd
Freedom, CA 95019-3025
Phone (831) 728-9324
Other providers in Freedom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 25, 2016. 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.