Chan, Johnny Pinghon

Chan, Johnny Pinghon is an sole proprietor health care provider with primary practice located at 3137 Jefferson Ave , Redwood City CA 94062-2959. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Chan, Johnny Pinghon can be contacted via phone (650) 366-3784.

Contact Information

Primary practice address
3137 Jefferson Ave Redwood City CA 94062-2959
Phone: (650) 366-3784
Fax: (650) 366-1848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH32261 California

Profile Details

NPI number 1881687846
LBN Legal business name Chan, Johnny Pinghon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Feb 13th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881687846 NPPES
California Other PHY11062 PHARMACY LICENCE
California MEDICAID PHA110620 PHARMACY LICENCE

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