Nguyen, Tan Khac
Nguyen, Tan Khac is an individual health care provider with primary practice located at 1310 San Bernardino Rd Suite 207, Upland CA 91786-4979. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Nguyen, Tan Khac can be contacted via phone (909) 946-8600.Contact Information
Primary practice address
1310 San Bernardino Rd Suite 207
Upland CA 91786-4979
Phone: (909) 946-8600
Fax: (909) 946-8604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | A70331 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A70331 | California |
Profile Details
| NPI number | 1144273491 |
|---|---|
| LBN Legal business name | Nguyen, Tan Khac |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Aug 8th, 2011 - about 15 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 | 1144273491 | NPPES |
| California | Other | P00614352 | RAILLROAD MEDICARE |
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