1801046529 NPI number — KHIEM TRAN PHYSICAL THERAPY, INC.

Table of content: (NPI 1801046529)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801046529 NPI number — KHIEM TRAN PHYSICAL THERAPY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KHIEM TRAN PHYSICAL THERAPY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801046529
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
43500 RIDGE PARK DR
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
TEMECULA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92590-3624
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-274-5342
Provider Business Mailing Address Fax Number:
951-699-1145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
381 CEDAR AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BREA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92821-6602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-274-5342
Provider Business Practice Location Address Fax Number:
951-699-1145
Provider Enumeration Date:
09/30/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TRAN
Authorized Official First Name:
KHIEM
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
949-274-5342

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  27904 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)