Justin Phan, - Pharmacist in Fountain Valley, CA

Justin Phan, is a Pharmacist based in Fountain Valley, California. Justin Phan is licensed to practice in California (license number 55461) and his current practice location is 10925 Goldeneye Ave, Fountain Valley, California. He can be reached at his office (for appointments etc.) via phone at (714) 487-9265.

NPI number for Justin Phan is 1700317229 and his current mailing address is 10925 Goldeneye Ave, Fountain Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700317229.

Contact Information

Justin Phan,
10925 Goldeneye Ave,
Fountain Valley, CA 92708-6012
(714) 487-9265
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJustin Phan
GenderMale
SpecialityPharmacist
Location10925 Goldeneye Ave, Fountain Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700317229
  • Provider Enumeration Date: 03/26/2017
  • Last Update Date: 03/26/2017

Medical Identifiers

Medical identifiers for Justin Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700317229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 55461 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Phan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin Phan,
10925 Goldeneye Ave,
Fountain Valley, CA 92708-6012

Ph: (714) 487-9265
Justin Phan,
10925 Goldeneye Ave,
Fountain Valley, CA 92708-6012

Ph: (714) 487-9265

Reviews and Comments


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