Phan, Cong Thanh

Phan, Cong Thanh is an sole proprietor health care provider with primary practice located at 9333 Baseline Rd Ste. 150, Rancho Cucamonga CA 91730-1350. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Phan, Cong Thanh can be contacted via phone (909) 941-4777.

Contact Information

Primary practice address
9333 Baseline Rd Ste. 150 Rancho Cucamonga CA 91730-1350
Phone: (909) 941-4777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00A780920
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A780920 California

Profile Details

NPI number 1386778033
LBN Legal business name Phan, Cong Thanh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Oct 1st, 2013 - 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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