Provider Demographics
NPI:1992071021
Name:QUON, DONNA HAYATA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:HAYATA
Last Name:QUON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13200 JAMBOREE RD
Mailing Address - Street 2:T1238
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2307
Mailing Address - Country:US
Mailing Address - Phone:714-838-7433
Mailing Address - Fax:714-361-3554
Practice Address - Street 1:13200 JAMBOREE RD
Practice Address - Street 2:T1238
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2307
Practice Address - Country:US
Practice Address - Phone:714-838-7433
Practice Address - Fax:714-361-3554
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA38455183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist