Vivian Thu-Van Phan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

55479 Issued in CA

Practice address

921 Pacific Coast Hwy
Seal Beach, CA 90740-6244

Phone

(562) 598-0473

NPI assigned

Jun 1, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851829956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406244",
            "telephone_number": "562-598-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 PACIFIC COAST HWY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406244",
            "telephone_number": "562-598-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VIVIAN",
        "middle_name": "THU-VAN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "55479",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigaile Perez, PTA
• Kristin Ann Perez
• Tao Sha Phalen, MASTER OF ACUPUNCTUR
• Lien Chau Thuy Phan
• Tony Phan, PT, DPT
• Philip P. Nguyen, DDS Inc. (Seal Beach Dentistry)
• Kevin Phung
• Trina Jane Physick, CMT
• Abelardo Pita, MD
• Douglas Jeffrey Poff, D.C.

• Pharmacist in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.