IndividualActive
Phong Mai
NPI 1063943553 · Pharmacist · San Pedro, CA
Phong Mai is a Pharmacist provider in San Pedro, CA (NPI 1063943553).
Provider details
- NPI number
- 1063943553
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 66391 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 S Gaffey St
San Pedro, CA 90731-3029
Phone: (310) 514-2003
Fax: (310) 514-2136
Street-level locationGet directions
Mailing address
700 S Gaffey St
San Pedro, CA 90731-3029
Registry dates
- Enumerated
- 2017-03-25
- Last updated
- 2017-03-25
Frequently asked questions
- What is Phong Mai's NPI number?
- Phong Mai's National Provider Identifier (NPI) is 1063943553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phong Mai's specialty?
- Phong Mai is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Phong Mai located?
- Phong Mai's practice location on file with NPPES is 700 S Gaffey St, San Pedro, CA 90731-3029.
- What is Phong Mai's phone number?
- The practice phone number listed in the NPPES registry for Phong Mai is (310) 514-2003.
- Is Phong Mai's NPI active?
- Yes — Phong Mai's NPI (1063943553) is active in the NPPES registry as of the last update on 2017-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.