Nguyen, Tan Khac

Nguyen, Tan Khac is an individual health care provider with primary practice located at 1310 San Bernardino Rd Suite 207, Upland CA 91786-4979. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Nguyen, Tan Khac can be contacted via phone (909) 946-8600.

Contact Information

Primary practice address
1310 San Bernardino Rd Suite 207 Upland CA 91786-4979
Phone: (909) 946-8600
Fax: (909) 946-8604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X A70331 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A70331 California

Profile Details

NPI number 1144273491
LBN Legal business name Nguyen, Tan Khac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 8th, 2011 - about 13 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 1144273491 NPPES
California Other P00614352 RAILLROAD MEDICARE

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