Dang, Kevin

Dang, Kevin is an individual health care provider with primary practice located at 4573 Star Pass Rd , Riverside CA 92507-7812. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Dang, Kevin can be contacted via phone (951) 867-0905.

Contact Information

Primary practice address
4573 Star Pass Rd Riverside CA 92507-7812
Phone: (951) 867-0905
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 190578 California

Profile Details

NPI number 1518683440
LBN Legal business name Dang, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2022
Last updated Oct 12th, 2022 - about 2 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 1518683440 NPPES
California MEDICAID 90590616D45087

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