Phan, Trang D

Phan, Trang D is an individual health care provider with primary practice located at 31573 Rancho Pueblo Rd Ste 101 , Temecula CA 92592-4854. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Phan, Trang D can be contacted via phone (951) 302-5580.

Contact Information

Primary practice address
31573 Rancho Pueblo Rd Ste 101 Temecula CA 92592-4854
Phone: (951) 302-5580
Fax: (951) 302-5581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5488 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 21354-875 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 34912TLG California

Profile Details

NPI number 1407817265
LBN Legal business name Phan, Trang D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 12th, 2022 - about 2 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 1407817265 NPPES
Ohio Other 000000376636 BLUE CROSS BLUE SHEILD
Ohio Other 1407817265 BLUE CROSS BLUE SHEILD
Ohio MEDICAID 2604944 BLUE CROSS BLUE SHEILD
Ohio Other 341572960TL BLUE CROSS BLUE SHEILD
Ohio Other P00444080 BLUE CROSS BLUE SHEILD
Ohio Other 1407817265 BLUE CROSS BLUE SHEILD

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