Tran, Cuc Kim
Tran, Cuc Kim is an sole proprietor health care provider with primary practice located at 14150 Brookhurst St , Garden Grove CA 92843-4657. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Tran, Cuc Kim can be contacted via phone (714) 590-9401.Contact Information
Primary practice address
14150 Brookhurst St
Garden Grove CA 92843-4657
Phone: (714) 590-9401
Fax: (714) 590-9484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PHY 45497 | California |
Profile Details
| NPI number | 1861591919 |
|---|---|
| LBN Legal business name | Tran, Cuc Kim |
| Credentials | OWNER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861591919 | NPPES |
| California | MEDICAID | PHA454970 |
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