Tran, Long Thanh

Tran, Long Thanh is an individual health care provider with primary practice located at 330 W Ramsey St , Banning CA 92220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tran, Long Thanh can be contacted via phone (951) 849-1950.

Contact Information

Primary practice address
330 W Ramsey St Banning CA 92220
Fax: (951) 849-0080
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 19489 California

Profile Details

NPI number 1144403676
LBN Legal business name Tran, Long Thanh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Jul 27th, 2018 - about 6 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 1144403676 NPPES
California Other 19489 PA LICENSE

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