Eng, Thomas T

Eng, Thomas T is an sole proprietor health care provider with primary practice located at 341 Magnolia Ave #102, Corona CA 92879-3331. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Eng, Thomas T can be contacted via phone (951) 371-8109.

Contact Information

Primary practice address
341 Magnolia Ave #102 Corona CA 92879-3331
Phone: (951) 371-8109
Fax: (951) 272-3936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A040273

Profile Details

NPI number 1790858413
LBN Legal business name Eng, Thomas T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Sep 18th, 2012 - about 12 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 1790858413 NPPES
California MEDICAID 00A402730

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