IndividualActive
Mark Bounthavong, PHARM.D.
NPI 1720272578 · Pharmacist · San Diego, CA
Mark Bounthavong, PHARM.D. is a Pharmacist provider in San Diego, CA (NPI 1720272578).
Provider details
- NPI number
- 1720272578
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH55969 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
3350 La Jolla Village Dr # 119
San Diego, CA 92161-0002
Phone: (858) 552-8585
Fax: (858) 552-7522
Approximate (ZIP-level) locationGet directions
Mailing address
3950 Mahaila Ave Apt M30
San Diego, CA 92122-5742
Registry dates
- Enumerated
- 2007-09-04
- Last updated
- 2007-09-04
Frequently asked questions
- What is Mark Bounthavong's NPI number?
- Mark Bounthavong's National Provider Identifier (NPI) is 1720272578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Bounthavong's specialty?
- Mark Bounthavong is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mark Bounthavong located?
- Mark Bounthavong's practice location on file with NPPES is 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002.
- What is Mark Bounthavong's phone number?
- The practice phone number listed in the NPPES registry for Mark Bounthavong is (858) 552-8585.
- Is Mark Bounthavong's NPI active?
- Yes — Mark Bounthavong's NPI (1720272578) is active in the NPPES registry as of the last update on 2007-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.