Nguyen, Trung Tan

Nguyen, Trung Tan is an individual health care provider with primary practice located at 782 Medical Center Dr E # 212 , Clovis CA 93611-6889. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Nguyen, Trung Tan can be contacted via phone (559) 451-3676.

Contact Information

Primary practice address
782 Medical Center Dr E # 212 Clovis CA 93611-6889
Phone: (559) 451-3676
Fax: (559) 451-3680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20A10394 California
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 20A10394 California

Profile Details

NPI number 1134331549
LBN Legal business name Nguyen, Trung Tan
Credentials D.O.,M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2007
Last updated Oct 9th, 2020 - about 5 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 1134331549 NPPES
California Other 20A10394 CA STATE LICENSE

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