Tran, Khanh Phuong
Tran, Khanh Phuong is an individual health care provider with primary practice located at 2001 4Th Ave Ste 100, San Diego CA 92101-2303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Tran, Khanh Phuong can be contacted via phone (858) 499-2600.Contact Information
Primary practice address
2001 4Th Ave Ste 100
San Diego CA 92101-2303
Phone: (858) 499-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | G83982 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G83982 | California |
Profile Details
| NPI number | 1427066869 |
|---|---|
| LBN Legal business name | Tran, Khanh Phuong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Nov 16th, 2015 - about 11 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 | 1427066869 | NPPES |
| California | MEDICAID | 00G839820 |
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