Phoebe Phung Kim Ma, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

80090 Issued in CA

Practice address

12001 Euclid St
Garden Grove, CA 92840-3332

Phone

(714) 530-1071

Fax

(714) 530-2637

NPI assigned

Jan 1, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546300800000",
    "number": "1346712338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12102 SPENCER DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413436",
            "telephone_number": "714-787-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403332",
            "telephone_number": "714-530-1071",
            "fax_number": "714-530-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "PHOEBE",
        "middle_name": "PHUNG KIM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2019-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Lyons
• Teresa Louise Lyons, BEHAVIOR TECHNICIAN
• M D Diagnostic Services
• Audrey S. Ma, DDS
• Chuan-Yu Ma
• Binh V Mac, PHARMD
• Antonio Macedo, BCBA
• Abbee Roree Macias
• Alexis Macias
• Amanda Macias

• Pharmacist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.