Duong, Richardsarak Sor

Duong, Richardsarak Sor is an individual health care provider with primary practice located at 1670 E 120Th St , Los Angeles CA 90059-3026. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Duong, Richardsarak Sor can be contacted via phone (424) 338-1965.

Contact Information

Primary practice address
1670 E 120Th St Los Angeles CA 90059-3026
Phone: (424) 338-1965
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 76700 California

Profile Details

NPI number 1912439217
LBN Legal business name Duong, Richardsarak Sor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2017
Last updated Jun 16th, 2020 - about 4 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 1912439217 NPPES
California MEDICAID 93687825A06036

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