Truong, Than Van
Truong, Than Van is an sole proprietor health care provider with primary practice located at 16171 Brookhurst St , Fountain Valley CA 92708-1550. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Truong, Than Van can be contacted via phone (714) 531-1434.Contact Information
Primary practice address
16171 Brookhurst St
Fountain Valley CA 92708-1550
Phone: (714) 531-1434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4636 | California |
Profile Details
| NPI number | 1801840483 |
|---|---|
| LBN Legal business name | Truong, Than Van |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Mar 7th, 2013 - about 13 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 | 1801840483 | NPPES |
| Other | W17007 | MEDICARE GROUP | |
| Other | BO152Y | MEDICARE GROUP | |
| MEDICAID | GRE001780 | MEDICARE GROUP |
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